Clayton Michael Clark, - Medicare Certified Registered Nurse Anesthetist (crna) in Durham, NC

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Clayton Michael Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Durham, North Carolina. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Emergenchealth Pllc, Olney-hamilton Hospital District and his current practice location is 307 Trent Dr, Durham, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 684-3786.

Clayton Michael Clark is licensed to practice in Texas (license number AP143683) 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 1013575844.

Contact Information

Clayton Michael Clark,
307 Trent Dr,
Durham, NC 27710-3038
(919) 684-3786
Not Available

Map and Direction




Provider's Profile

Full NameClayton Michael Clark
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location307 Trent Dr, Durham, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Clayton Michael Clark graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1013575844
  • Provider Enumeration Date: 06/05/2019
  • Last Update Date: 11/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2163854308
  • Enrollment ID: I20191108002867

Medical Identifiers

Medical identifiers for Clayton Michael Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013575844NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 275012 (North Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered AP143683 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kell West Regional HospitalWichita falls, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergenchealth Pllc1355606641540
Olney-hamilton Hospital District913302907711

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. Clayton Michael Clark allows following entities to bill medicare on his behalf.
Entity NameYoungs Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922178599
PECOS PAC ID: 2163524992
Enrollment ID: O20120104000614
Entity NameOlney-hamilton Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801158787
PECOS PAC ID: 9133029077
Enrollment ID: O20120727000642
Entity NameNorthstar Anesthesia Ii Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477066405
PECOS PAC ID: 2365701737
Enrollment ID: O20180110000102
Entity NameEmergenchealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467970897
PECOS PAC ID: 1355606641
Enrollment ID: O20180608000439
Entity NameNorthstar Anesthesia Iii Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356968952
PECOS PAC ID: 0042630501
Enrollment ID: O20201022000080

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. Clayton Michael 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 AddressPractice Location Address
Clayton Michael Clark,
1428 Ida St Apt K,
Durham, NC 27705-3331

Ph: () -		Clayton Michael Clark,
307 Trent Dr,
Durham, NC 27710-3038

Ph: (919) 684-3786

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Durham, NC

Christine A Eaton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Erwin Rd, Durham, NC 27710
Phone: 919-684-3595    
Derrick Cephano Glymph, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2301 Erwin Rd, Durham, NC 27705
Phone: 919-684-8111    
Cindy Black, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Erwin Rd, Durham, NC 27710
Phone: 919-620-4467    
Donald Moede,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2100 Erwin Rd, Durham, NC 27710
Phone: 919-620-4467    
Hannah H Bost, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 508 Fulton St, Durham, NC 27705
Phone: 919-286-0411    
Jacob Hollenbeck,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3643 N Roxboro St, Durham, NC 27704
Phone: 919-470-4000    
Sarah Adcock, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2301 Erwin Rd, Durham, NC 27705
Phone: 919-668-0289    

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.