Anthony Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Canton, Ohio. His current practice location is
2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 363-7462.
Anthony Clark is licensed to practice in Ohio (license number APRN.CRNA.03168) 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 1013964089.
Physician's Profile
| Full Name | Anthony Clark |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2600 Sixth Street Sw, Canton, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Anthony Clark attended and graduated from in
NPI Data:
- NPI Number: 1013964089
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 07/19/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Anthony Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013964089 | NPI | - | NPPES |
| 2113779 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | KN237880 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.03168 (Ohio) | Primary |
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. Anthony 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 |
|---|
Anthony Clark, CRNA
Po Box 80690,
Canton, OH 44708-0690
Ph: (330) 363-7444 | Anthony Clark, CRNA
2600 Sixth Street Sw, Ohio Hospital Based Physician Corp,
Canton, OH 44710
Ph: (330) 363-7462 |
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