Elizabeth Clark, - Medicare Certified Registered Nurse Anesthetist (crna) in Jackson, MS

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Elizabeth Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Mississippi. She graduated from nursing school in 1986 and has 38 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Lifelinc Anesthesia Pllc, Sweet Dreams Anesthesia Pllc and her current practice location is 2500 N State St, Pfs, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-4619.

Elizabeth Clark is licensed to practice in Mississippi (license number R576255) 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 1184710345.

Contact Information

Elizabeth Clark,
2500 N State St, Pfs,
Jackson, MS 39216-4500
(601) 984-4619
Not Available

Map and Direction




Provider's Profile

Full NameElizabeth Clark
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience38 Years
Location2500 N State St, Jackson, Mississippi
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:
  • Elizabeth Clark graduated from nursing school in 1986
  NPI Data:
  • NPI Number: 1184710345
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 12/17/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8022190313
  • Enrollment ID: I20080125000087

Medical Identifiers

Medical identifiers for Elizabeth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184710345NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R576255 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Medical Center-leakeCarthage, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifelinc Anesthesia Pllc0941347447121
Sweet Dreams Anesthesia Pllc125475768517

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. Elizabeth Clark allows following entities to bill medicare on her behalf.
Entity NameGastrointestinal Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093765604
PECOS PAC ID: 5294795241
Enrollment ID: O20041013001263
Entity NameWillow Anesthesia Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205169521
PECOS PAC ID: 9234279183
Enrollment ID: O20091228000308
Entity NameLifelinc Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801021464
PECOS PAC ID: 0941347447
Enrollment ID: O20130522000277
Entity NameR&r Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114494796
PECOS PAC ID: 2163761339
Enrollment ID: O20190306000065
Entity NameSweet Dreams Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427667724
PECOS PAC ID: 1254757685
Enrollment ID: O20200817002170

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. Elizabeth 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
Elizabeth Clark,
2500 N State St, Pfs,
Jackson, MS 39216-4500

Ph: (601) 984-4619		Elizabeth Clark,
2500 N State St, Pfs,
Jackson, MS 39216-4500

Ph: (601) 984-4619

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Jackson, MS

Emily Sumrall Childress, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Theresa Ann Davis, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Austin Grant Conn, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Mollie Harrell,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Pfs, Jackson, MS 39216
Phone: 601-984-4619    
John Tyler Mclendon,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1850 Chadwick Dr, Jackson, MS 39204
Phone: 601-376-1000    
James Walter Ishee, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Zachary Halliwell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 969 Lakeland Dr, Jackson, MS 39216
Phone: 601-200-2000    

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.