Charles E Clark, CRNA - Nurse Anesthetist, Certified Registered in Pomona, NJ

Charles E Clark, CRNA is a Nurse Anesthetist, Certified Registered based in Pomona, New Jersey. Charles E Clark is licensed to practice in New Jersey (license number 26NR07050200) and his current practice location is 65 Jimmie Leeds Road, Pomona, New Jersey. He can be reached at his office (for appointments etc.) via phone at (609) 652-3444.

NPI number for Charles E Clark is 1285739557 and his current mailing address is 744 W Michigan Ave, Jackson, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285739557.

Contact Information

Charles E Clark, CRNA
65 Jimmie Leeds Road,
Pomona, NJ 08240
(609) 652-3444
Not Available

Map and Direction




Provider's Profile

Full NameCharles E Clark
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location65 Jimmie Leeds Road, Pomona, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285739557
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Charles E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285739557NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 26NR07050200 (New Jersey)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. Charles E Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles E Clark, CRNA
744 W Michigan Ave,
Jackson, MI 49201-1909

Ph: (517) 787-6440
Charles E Clark, CRNA
65 Jimmie Leeds Road,
Pomona, NJ 08240

Ph: (609) 652-3444

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Pomona, NJ

Klisa D. Hargrove-loper, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240
Phone: 609-652-3444    
Ashleigh Bry,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240
Phone: 609-652-1000    
Susan Schrenk, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 65 W Jimmie Leeds Rd, Anesthesia Department, Pomona, NJ 08240
Phone: 609-748-7597    
Allison Giegerich,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240
Phone: 609-652-1000    
Dr. Marissa Glaze, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240
Phone: 609-652-1000    
Ellen Lauletta, CRNA, MSN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240
Phone: 609-652-1000    
Steven Greenleaf, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 65 Jimmie Leeds Road, Pomona, NJ 08240
Phone: 609-652-3444    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.