Ryan Mathew Clark, CRNA - Medicare Certified Registered Nurse Anesthetist in Bolivar, MO

Ryan Mathew Clark, CRNA is a medicare enrolled "Anesthesiologist Assistant" in Bolivar, Missouri. He graduated from nursing school in 2011 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist. He is a member of the group practice Citizens Memorial Hospital District and his current practice location is 1500 N Oakland, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 328-7705.

Ryan Mathew Clark is licensed to practice in Missouri (license number 2011022952) 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 1184903460.

Contact Information

1500 N Oakland
MO 65613-3099
(417) 328-7705
Not Available

Map and Direction

Provider's Profile

Full NameRyan Mathew Clark
SpecialityCertified Registered Nurse Anesthetist
Experience7 Years
LocationBolivar, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ryan Mathew Clark graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1184903460
  • Provider Enumeration Date: 08/04/2011
  • Last Update Date: 08/04/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0648442566
  • Enrollment ID: I20111018000606

Medical Identifiers

Medical identifiers for Ryan Mathew Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 2011022952 (Missouri)Primary

Hospital Affiliation

Hospital NameLocationType
Citizens Memorial HospitalBolivar, MOAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Citizens Memorial Hospital District276957443314

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. Ryan Mathew Clark allows following entities to bill medicare on his behalf.
Entity NameCitizens Memorial Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558548818
PECOS PAC ID: 2769574433
Enrollment ID: O20070827000044

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. Ryan Mathew Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Medicare Quality Measures

Quality ProgramParticipation
Reported to Medicare Physician Quality Reporting System (PQRS) Yes
Used Electronic Health Record (EHR) No
Committed to heart health through the Million Hearts Initiative No

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ryan Mathew Clark, CRNA
1500 N Oakland
MO 65613-3099

Ph: (417) 328-7705
Ryan Mathew Clark, CRNA
1500 N Oakland
MO 65613-3099

Ph: (417) 328-7705

Reviews and Comments

Anesthesiologist Assistant Nurses in Bolivar, MO

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.