Daniel Ewing Clark, CRNA in Idaho Falls, ID - Medicare Certified Registered Nurse Anesthetist (crna)

Daniel Ewing Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Idaho Falls, Idaho. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Intermountain Anesthesia Pa and his current practice location is 3100 Channing Way, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 529-6111.

Daniel Ewing Clark is licensed to practice in Idaho (license number 54479) 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 1295267029.

Contact Information

	Daniel Ewing Clark, CRNA
	3100 Channing Way, Idaho Falls, ID 83404-7533
	(208) 529-6111
	Not Available

Map and Direction

Provider's Profile

Full Name	Daniel Ewing Clark
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	3100 Channing Way, Idaho Falls, Idaho
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:

Daniel Ewing Clark graduated from nursing school in 2017

NPI Data:

NPI Number: 1295267029
Provider Enumeration Date: 03/30/2017
Last Update Date: 02/03/2023

Medicare PECOS Information:

PECOS PAC ID: 7214214618
Enrollment ID: I20170512001828

Medical Identifiers

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

Identifier	Type	State	Issuer
1295267029	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	54479 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eastern Idaho Regional Medical Center	Idaho falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Anesthesia Pa	5193638781	25

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. Daniel Ewing Clark allows following entities to bill medicare on his behalf.

Entity Name	Intermountain Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558304329 PECOS PAC ID: 5193638781 Enrollment ID: O20040825000367

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. Daniel Ewing 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
Daniel Ewing Clark, CRNA 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 529-6111	Daniel Ewing Clark, CRNA 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 529-6111

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Idaho Falls, ID

Reed D Loertscher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6285
Mr. David Joseph Swope, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2375 E Sunnyside Rd, Suite B, Idaho Falls, ID 83404 Phone: 208-421-1159
Carlene M Canfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 E 17th St, Idaho Falls, ID 83404 Phone: 208-525-2090 Fax: 208-525-2662
Douglas Jex, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6269
Mr. Bryan Todd Merkley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-557-2700
Dr. Scott Havard, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 207-745-4081
Brent Michael Sutherland, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2532 Coronado, Idaho Falls, ID 83404 Phone: 208-557-2700

Daniel Ewing Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Idaho Falls, ID