Glenn Alan Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Brawley, CA

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Glenn Alan Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Brawley, California. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ecie Anesthesia Llc, Sound Physicians Anesthesiology Of California Pc and his current practice location is 207 W Legion Rd, Brawley, California. You can reach out to his office (for appointments etc.) via phone at (760) 351-3333.

Glenn Alan Clark is licensed to practice in California (license number NA3696) 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 1568632982.

Contact Information

Glenn Alan Clark, CRNA
207 W Legion Rd,
Brawley, CA 92227
(760) 351-3333
Not Available

Map and Direction




Provider's Profile

Full NameGlenn Alan Clark
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location207 W Legion Rd, Brawley, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Glenn Alan Clark graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1568632982
  • Provider Enumeration Date: 03/03/2008
  • Last Update Date: 02/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7113080029
  • Enrollment ID: I20090120000180

Medical Identifiers

Medical identifiers for Glenn Alan Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568632982NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered NA3696 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Loma Linda University Medical Center-murrietaMurrieta, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ecie Anesthesia Llc41839263308
Sound Physicians Anesthesiology Of California Pc438502777037

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. Glenn Alan Clark allows following entities to bill medicare on his behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameUnited Medical Doctors
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770559981
PECOS PAC ID: 2961305651
Enrollment ID: O20040129001069
Entity NameTemecula Ca Endoscopy Asc Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285863696
PECOS PAC ID: 4981645678
Enrollment ID: O20090730000041
Entity NameAnesthesia Medical Group Of Imperial Valley Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487087136
PECOS PAC ID: 9335379775
Enrollment ID: O20140303001946
Entity NameTemecula Ca United Surgery Center Lp
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1275951196
PECOS PAC ID: 9436465853
Enrollment ID: O20150831003140
Entity NameEcie Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275903783
PECOS PAC ID: 4183926330
Enrollment ID: O20160106000412
Entity NameSb Anesthesia Inc., A Professional Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952816787
PECOS PAC ID: 6709146392
Enrollment ID: O20180130000679
Entity NameSound Physicians Anesthesiology Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699408229
PECOS PAC ID: 4385027770
Enrollment ID: O20220817003296

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. Glenn Alan 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
Glenn Alan Clark, CRNA
Po Box 7096,
Stockton, CA 95267-0096

Ph: (209) 956-7725		Glenn Alan Clark, CRNA
207 W Legion Rd,
Brawley, CA 92227

Ph: (760) 351-3333

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Brawley, CA

Mrs. Theresa Marie Nolan, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 207 W. Legion Rd., Brawley, CA 92227
Phone: 760-351-3288    
Teresa Ilene Bero Alcantara, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 207 W Legion Rd, Brawley, CA 92227
Phone: 760-351-3288    
Mr. Francis Gary Lum, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 207 W Legion Rd, Brawley, CA 92227
Phone: 760-351-3333    Fax: 619-582-8957
Joseph Aurelio Andrade, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 207 W Legion Rd, Brawley, CA 92227
Phone: 760-351-3333    
Mr. Brian Craig O'hair, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 207 W Legion Rd, Brawley, CA 92227
Phone: 760-351-3288    
Clinton E. Flentje, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 201 W. Legion, Brawley, CA 92227
Phone: 760-351-3288    

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.