Angela Clark, CRNA in San Angelo, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Angela Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Angelo, Texas. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Texas Tech University Health Sciences Center Lubbock and her current practice location is 3555 Knickerbocker Rd, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 949-9555.

Angela Clark is licensed to practice in Texas (license number AP130678) 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 1972929701.

Contact Information

	Angela Clark, CRNA
	3555 Knickerbocker Rd, San Angelo, TX 76904-7610
	(325) 949-9555
	Not Available

Map and Direction

Provider's Profile

Full Name	Angela Clark
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	3555 Knickerbocker Rd, San Angelo, Texas
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:

Angela Clark graduated from nursing school in 2014

NPI Data:

NPI Number: 1972929701
Provider Enumeration Date: 03/18/2014
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 3274826227
Enrollment ID: I20160728000131

Medical Identifiers

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

Identifier	Type	State	Issuer
1972929701	NPI	-	NPPES
360901801	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP130678 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Medical Center	Lubbock, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Texas Tech University Health Sciences Center Lubbock	4385549674	318

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. Angela Clark allows following entities to bill medicare on her behalf.

Entity Name	Texas Tech University Health Sciences Center Lubbock
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468

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. Angela 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
Angela Clark, CRNA 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (325) 949-9555	Angela Clark, CRNA 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (325) 949-9555

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Angelo, TX

Shari L. Rogler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741
Shayla Cue, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741
Mr. Michael Rochin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-947-6616
Ms. Patricia T Manning, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 Fax: 325-481-2166
Crystal Sustaita, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9511
Kristine Scott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9555
Mr. Marvin Hill, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 120 E. Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 Fax: 325-481-2166

Angela Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in San Angelo, TX