Rhonda D Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ft Walton Beach, Florida. She graduated from nursing school in 1994 and has 31 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Nereus Anesthesia and her current practice location is
928 Mar Walt Dr, Suite 201, Ft Walton Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 862-4377.
Rhonda D Clark is licensed to practice in Florida (license number ARNP2598982) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174521413.
Provider's Profile
| Full Name | Rhonda D Clark |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 31 Years |
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| Location | 928 Mar Walt Dr, Ft Walton Beach, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Rhonda D Clark graduated from nursing school in 1994
NPI Data:
- NPI Number: 1174521413
- Provider Enumeration Date: 07/11/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3375525124
- Enrollment ID: I20040604000204
Medical Identifiers
Medical identifiers for Rhonda D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174521413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP2598982 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Nereus Anesthesia | 8123483989 | 10 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rhonda D Clark allows following entities to bill medicare on her behalf.
| Entity Name | Sheridan Healthcorp Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
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| Entity Name | Ams Baptist Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093020216 PECOS PAC ID: 6901099688 Enrollment ID: O20101026001236 |
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| Entity Name | Ams Of Gulf Breeze Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376812032 PECOS PAC ID: 9537326665 Enrollment ID: O20120201000611 |
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| Entity Name | Florida Gulf Coast Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013522325 PECOS PAC ID: 8224458518 Enrollment ID: O20201027001114 |
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| Entity Name | Nereus Anesthesia |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710683412 PECOS PAC ID: 8123483989 Enrollment ID: O20230501000077 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rhonda D Clark is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Rhonda D Clark, CRNA 2548 Crescent Rd, Navarre, FL 32566 Ph: (850) 939-6126 | Rhonda D Clark, CRNA 928 Mar Walt Dr, Suite 201, Ft Walton Beach, FL 32547-6706 Ph: (850) 862-4377 |
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