Carl Mark Clark, CRNA | |
525 Western Ave, Ste 201, Conway, AR 72034-4967 | |
(501) 327-6665 | |
(501) 730-0289 |
Full Name | Carl Mark Clark |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 39 Years |
Location | 525 Western Ave, Conway, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114914652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | C00642 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Conway Regional Health System | Conway, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Conway Anesthesiology Consultants, Pa | 6901796267 | 23 |
Entity Name | Conway Anesthesiology Consultants, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568423820 PECOS PAC ID: 6901796267 Enrollment ID: O20040318001545 |
Mailing Address | Practice Location Address |
---|---|
Carl Mark Clark, CRNA 525 Western Ave, Ste 201, Conway, AR 72034-4967 Ph: (501) 327-6665 | Carl Mark Clark, CRNA 525 Western Ave, Ste 201, Conway, AR 72034-4967 Ph: (501) 327-6665 |
Mr. David John Holmes, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave, Ste 201, Conway, AR 72034 Phone: 501-327-6665 Fax: 501-730-0289 | |
Mrs. Mary 'frankie' Sears, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 525 Western Ave, Suite 201, Conway, AR 72034 Phone: 501-327-6665 Fax: 501-730-0289 | |
Mr. Charles Anthony Turchi, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave, Suite 201, Conway, AR 72034 Phone: 501-327-6665 Fax: 501-730-0289 | |
Jevin Allen Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave, Suite 201, Conway, AR 72034 Phone: 501-327-6665 Fax: 501-730-0289 | |
Mr. Mark N Meaux, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave, Suite 201, Conway, AR 72034 Phone: 501-327-6665 Fax: 501-730-0289 | |
Jennifer Evins Bishop, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2850 Prince St Ste 43, Conway, AR 72034 Phone: 501-327-6665 |