Ed J Clark, CRNA in Canton, OH - Medicare Certified Registered Nurse Anesthetist (crna)

Ed J Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Canton, Ohio. He graduated from nursing school in 1992 and has 32 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Safe Anesthesia Geneva Llc and his current practice location is 2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 363-7462.

Ed J Clark is licensed to practice in Ohio (license number RN217418) 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 1306800222.

Contact Information

	Ed J Clark, CRNA
	2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710
	(330) 363-7462
	(330) 363-7679

Map and Direction

Provider's Profile

Full Name	Ed J Clark
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	32 Years
Location	2600 Sixth Street Sw, Canton, Ohio
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:

Ed J Clark graduated from nursing school in 1992

NPI Data:

NPI Number: 1306800222
Provider Enumeration Date: 04/17/2006
Last Update Date: 10/31/2007

Medicare PECOS Information:

PECOS PAC ID: 4880690197
Enrollment ID: I20061010000485

Medical Identifiers

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

Identifier	Type	State	Issuer
1306800222	NPI	-	NPPES
0886760	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN217418 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Hospitals Portage Medical Center	Ravenna, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Safe Anesthesia Geneva Llc	4385771997	27

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. Ed J Clark allows following entities to bill medicare on his behalf.

Entity Name	University Primary Care Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767

Entity Name	University Hospitals Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301

Entity Name	Safe Anesthesia Geneva Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821327636 PECOS PAC ID: 4385771997 Enrollment ID: O20100429000743

Entity Name	Northstar Anesthesia Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005

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. Ed J 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
Ed J Clark, CRNA 2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Ph: (330) 363-7462	Ed J Clark, CRNA 2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Ph: (330) 363-7462

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Canton, OH

Sarah Gomez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4665 Douglas Cir Nw, Canton, OH 44718 Phone: 330-499-5700
Roxie Lee Rush, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679
Mr. Kevin White, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679
Amanda G Gillis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4665 Douglas Cir Nw, #100, Canton, OH 44718 Phone: 330-499-5700 Fax: 330-498-4229
Arlene Ann Weeber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 6th St Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679
Sheree Boyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679
Lois R Milosevic, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1111

Ed J Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Canton, OH