Robert Charles Clark, CRNA in Dothan, AL - Medicare Certified Registered Nurse Anesthetist (crna)

Robert Charles Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dothan, Alabama. He graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Tenet Florida Physician Services Llc and his current practice location is 4370 W Main St, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 793-5000.

Robert Charles Clark is licensed to practice in Alabama (license number 1044483) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992766703.

Contact Information

	Robert Charles Clark, CRNA
	4370 W Main St, Dothan, AL 36305
	(334) 793-5000
	(334) 615-8428

Map and Direction

Provider's Profile

Full Name	Robert Charles Clark
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	25 Years
Location	4370 W Main St, Dothan, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Robert Charles Clark graduated from nursing school in 2001

NPI Data:

NPI Number: 1992766703
Provider Enumeration Date: 03/31/2006
Last Update Date: 07/25/2011

Medicare PECOS Information:

PECOS PAC ID: 4789678095
Enrollment ID: I20231101002135

Medical Identifiers

Medical identifiers for Robert Charles Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992766703	NPI	-	NPPES
691173405B	Medicaid	GA
034384600	Medicaid	FL
051515739	Medicaid	AL
51515739	Other	AL	BCBS AL
P00057714	Other		RR MCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1044483 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tenet Florida Physician Services Llc	0345349478	234

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. Robert Charles Clark allows following entities to bill medicare on his behalf.

Entity Name	Madison County Hospital Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104821461 PECOS PAC ID: 2860474111 Enrollment ID: O20040602000398

Entity Name	Tenet Florida Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659417467 PECOS PAC ID: 0345349478 Enrollment ID: O20080129000575

Entity Name	Ccsc Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598161051 PECOS PAC ID: 4486971686 Enrollment ID: O20150327001222

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. Robert Charles 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
Robert Charles Clark, CRNA Po Box 6907, Dothan, AL 36302 Ph: (334) 793-5000	Robert Charles Clark, CRNA 4370 W Main St, Dothan, AL 36305 Ph: (334) 793-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dothan, AL

Gina L Searcy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191
Dennis Morrison, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191
Mr. Patrick Francis Lux, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8765 Fax: 334-678-2864
Mr. Michael Aaron Allen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000
Saege Henry Johnson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8111
Nola Grubbs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000 Fax: 334-615-8419
Branden Schorr, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-899-8111

Robert Charles Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Dothan, AL