David Clark, in Louisville, KY - Medicare Certified Registered Nurse Anesthetist (crna)

David Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Louisville, Kentucky. He went to Florida State University College Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice One Anesthesia Pllc and his current practice location is 4000 Kresge Way, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 897-8100.

David Clark is licensed to practice in Kentucky (license number 134602) 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 1699361071.

Contact Information

	David Clark,
	4000 Kresge Way, Louisville, KY 40207-4605
	(502) 897-8100
	Not Available

Map and Direction

Provider's Profile

Full Name	David Clark
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	4000 Kresge Way, Louisville, Kentucky
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:

David Clark attended and graduated from Florida State University College Of Medicine in 2020

NPI Data:

NPI Number: 1699361071
Provider Enumeration Date: 12/18/2020
Last Update Date: 03/26/2021

Medicare PECOS Information:

PECOS PAC ID: 4688087844
Enrollment ID: I20210106003175

Medical Identifiers

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

Identifier	Type	State	Issuer
1699361071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	1-148235 (Alabama)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	134602 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Louisville	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
One Anesthesia Pllc	7113816174	79

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

Entity Name	One Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174513246 PECOS PAC ID: 7113816174 Enrollment ID: O20040315001249

Entity Name	U S Anesthesia Partners Of Kentucky Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144901042 PECOS PAC ID: 9335502996 Enrollment ID: O20230829004308

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. David 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
David Clark, 7741 Upton Oxmoor Ln Apt 101, Louisville, KY 40222-4453 Ph: (334) 596-1336	David Clark, 4000 Kresge Way, Louisville, KY 40207-4605 Ph: (502) 897-8100

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Louisville, KY

Benjamin Martin Choi Sampedro, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 214-687-0001
Mrs. Shelby Victoria Cofer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-562-3000
Marian Antonette Cochiaosue-avery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056
Jessica Earline Luvisi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000
Chad Riddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4034 Saint Ives Ct, Louisville, KY 40207 Phone: 502-640-8349 Fax: 502-749-9202
Mr. Scott M. Beyl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-6901 Fax: 502-852-6056
Lauren Elise Coles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056

David Clark, - Medicare Certified Registered Nurse Anesthetist (crna) in Louisville, KY