Brittney Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Euince, Louisiana. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Diversified Professionals, Inc. and her current practice location is
3501 Us 190, Euince, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 580-7500.
Brittney Clark is licensed to practice in Louisiana (license number 211595) 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 1417588724.
Provider's Profile
Full Name | Brittney Clark |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 5 Years |
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Location | 3501 Us 190, Euince, Louisiana |
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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:
- Brittney Clark graduated from nursing school in 2019
NPI Data:
- NPI Number: 1417588724
- Provider Enumeration Date: 01/27/2020
- Last Update Date: 01/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 8224454871
- Enrollment ID: I20200813002165
Medical Identifiers
Medical identifiers for Brittney Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417588724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 211595 (Louisiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Diversified Professionals, Inc. | 0446356463 | 59 |
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. Brittney Clark allows following entities to bill medicare on her behalf.
Entity Name | Louisiana Anesthesiology Group L.l.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902957103 PECOS PAC ID: 6507758505 Enrollment ID: O20040325001171 |
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Entity Name | Diversified Professionals, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700923992 PECOS PAC ID: 0446356463 Enrollment ID: O20070507000647 |
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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. Brittney 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 |
Brittney Clark, CRNA 1511 Salisbury Dr, Baton Rouge, LA 70816-7204 Ph: () - | Brittney Clark, CRNA 3501 Us 190, Euince, LA 70535 Ph: (337) 580-7500 |
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