Brian Kelly Clark, CRNA in Hampton, VA - Medicare Certified Registered Nurse Anesthetist (crna)

Brian Kelly Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hampton, Virginia. He graduated from nursing school in 2001 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Cayuga Medical Associates Pc and his current practice location is 501 Medical Dr, Hampton, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 295-9360.

Brian Kelly Clark is licensed to practice in Virginia (license number 0024165065) 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 1821059403.

Contact Information

	Brian Kelly Clark, CRNA
	501 Medical Dr, Hampton, VA 23666-6080
	(703) 295-9360
	(703) 295-9369

Map and Direction

Provider's Profile

Full Name	Brian Kelly Clark
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	24 Years
Location	501 Medical Dr, Hampton, Virginia
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:

Brian Kelly Clark graduated from nursing school in 2001

NPI Data:

NPI Number: 1821059403
Provider Enumeration Date: 03/31/2006
Last Update Date: 03/08/2022

Medicare PECOS Information:

PECOS PAC ID: 1658360441
Enrollment ID: I20180924000983

Medical Identifiers

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

Identifier	Type	State	Issuer
1821059403	NPI	-	NPPES
010170699	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0024165065 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cayuga Medical Center At Ithaca	Ithaca, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cayuga Medical Associates Pc	6709897960	217

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. Brian Kelly Clark allows following entities to bill medicare on his behalf.

Entity Name	Guthrie Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220

Entity Name	Geneva General Hospital, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487797080 PECOS PAC ID: 7810809407 Enrollment ID: O20031103000307

Entity Name	Upstate Medical Anesthesiology Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851485759 PECOS PAC ID: 8921992389 Enrollment ID: O20040209000612

Entity Name	Cayuga Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679525455 PECOS PAC ID: 6709897960 Enrollment ID: O20060601000199

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. Brian Kelly 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
Brian Kelly Clark, CRNA Po Box 37090, Baltimore, MD 21297-3090 Ph: (703) 295-9360	Brian Kelly Clark, CRNA 501 Medical Dr, Hampton, VA 23666-6080 Ph: (703) 295-9360

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Hampton, VA

David Chester Vonrump, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Coliseum Dr, Hampton, VA 23666 Phone: 757-736-1000
Mrs. Laura G Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr, Hampton, VA 23666 Phone: 757-736-1000
Robert Ashford Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr, Hampton, VA 23666 Phone: 757-736-3498
Yvette Ansumana, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 757-225-6449
Joseph Anthony Yungbluth, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 113 Signature Way, Hampton, VA 23666 Phone: 757-723-3549
Dr. Shannon Nunnery, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 425-345-0787
Barbara Hite, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 335 Green Spring Ct, Hampton, VA 23669 Phone: 757-851-8169

Brian Kelly Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Hampton, VA