Clark Hendrickson, CRNA in Tacoma, WA - Medicare Certified Registered Nurse Anesthetist (crna)

Clark Hendrickson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tacoma, Washington. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Franciscan Medical Group and his current practice location is 1717 S J St, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (844) 364-2778.

Clark Hendrickson is licensed to practice in Washington (license number AP60737795) 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 1427318013.

Contact Information

	Clark Hendrickson, CRNA
	1717 S J St, Tacoma, WA 98405-4933
	(844) 364-2778
	Not Available

Map and Direction

Provider's Profile

Full Name	Clark Hendrickson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	1717 S J St, Tacoma, Washington
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:

Clark Hendrickson graduated from nursing school in 2012

NPI Data:

NPI Number: 1427318013
Provider Enumeration Date: 05/17/2012
Last Update Date: 12/04/2020

Medicare PECOS Information:

PECOS PAC ID: 2860644655
Enrollment ID: I20171228001814

Medical Identifiers

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

Identifier	Type	State	Issuer
1427318013	NPI	-	NPPES
2081364	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R 173735-6 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP60737795 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Elizabeth Hospital	Enumclaw, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Franciscan Medical Group	0547173866	1173

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. Clark Hendrickson allows following entities to bill medicare on his behalf.

Entity Name	Franciscan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789

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. Clark Hendrickson 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
Clark Hendrickson, CRNA 1717 S J St, Tacoma, WA 98405-4933 Ph: (844) 364-2778	Clark Hendrickson, CRNA 1717 S J St, Tacoma, WA 98405-4933 Ph: (844) 364-2778

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tacoma, WA

Michael John Means, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2235
Mr. Andrew J Irizarry, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 330-509-3934
Matthew Libid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 203-768-5053
Mrs. Elizabeth Katherine Mary Pulatie, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 A Reid St, Tacoma, WA 98431 Phone: 253-968-1110
Ms. Lisa Ann Petty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278
Mr. Andrey Bobrovnikov, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6341 Fax: 253-426-6344
Craig Andrew Swank, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3209 S 23rd St, Suite 340, Tacoma, WA 98405 Phone: 253-503-2598 Fax: 253-404-0506

Clark Hendrickson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tacoma, WA