Courtney A Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Royal Oak, MI

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Courtney A Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Royal Oak, Michigan. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Henry Ford West Bloomfield Hospital, Asa Staffing Inc and her current practice location is 3601 W 13 Mile Rd, Royal Oak, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 898-5000.

Courtney A Clark is licensed to practice in Michigan (license number 4704253017) 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 1851695753.

Contact Information

Courtney A Clark, CRNA
3601 W 13 Mile Rd,
Royal Oak, MI 48073-6712
(248) 898-5000
Not Available

Map and Direction




Provider's Profile

Full NameCourtney A Clark
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location3601 W 13 Mile Rd, Royal Oak, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Courtney A Clark graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1851695753
  • Provider Enumeration Date: 01/06/2011
  • Last Update Date: 04/05/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0042493660
  • Enrollment ID: I20110319000062

Medical Identifiers

Medical identifiers for Courtney A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851695753NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704253017 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford West Bloomfield HospitalWest bloomfield, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford West Bloomfield Hospital226458944991
Asa Staffing Inc3971898644106

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. Courtney A Clark allows following entities to bill medicare on her behalf.
Entity NameAmerican Anesthesiology Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487609475
PECOS PAC ID: 5294648804
Enrollment ID: O20031110000617
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871666479
PECOS PAC ID: 0547178311
Enrollment ID: O20040124000368
Entity NameWilliam Beaumont Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811044878
PECOS PAC ID: 9335051093
Enrollment ID: O20040312000217
Entity NameSuperior Anesthetists Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831144518
PECOS PAC ID: 5890784987
Enrollment ID: O20040512000785
Entity NameHenry Ford West Bloomfield Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518104686
PECOS PAC ID: 2264589449
Enrollment ID: O20090403000176
Entity NameAsa Staffing Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114378981
PECOS PAC ID: 3971898644
Enrollment ID: O20160818002713
Entity NameEnviron Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831438092
PECOS PAC ID: 3870717754
Enrollment ID: O20180227002190
Entity NameNorthstar Anesthesia Of Michigan Iii Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990
Entity NameParagon Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356940670
PECOS PAC ID: 4789096942
Enrollment ID: O20201210003133

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. Courtney A 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
Courtney A Clark, CRNA
3601 W 13 Mile Rd,
Royal Oak, MI 48073-6712

Ph: (248) 898-5000		Courtney A Clark, CRNA
3601 W 13 Mile Rd,
Royal Oak, MI 48073-6712

Ph: (248) 898-5000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Royal Oak, MI

Ban Batu, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-423-3144    
Amie Hamper,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-7784    Fax: 248-898-8181
Michelle Glaeser, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073
Phone: 248-423-3144    
Thomas Lundblad, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073
Phone: 248-423-3144    
Patricia Ljubic, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073
Phone: 248-423-3144    
Catherine Wolfson, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073
Phone: 248-423-2481    
Nancy Berner, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3601 W 13 Mile Rd, Beaumont Hospital - Royal Oak, Royal Oak, MI 48073
Phone: 248-898-7784    Fax: 248-898-8181

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.