Jason Andrew Clark, CRNA in Salem, VA - Medicare Nurse Anesthetist, Certified Registered

Jason Andrew Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Salem, Virginia. His current practice location is 1970 Roanoke Blvd, Salem, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 982-2463.

Jason Andrew Clark is licensed to practice in Virginia (license number 00274169178) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902101959.

Contact Information

	Jason Andrew Clark, CRNA
	1970 Roanoke Blvd, Salem, VA 24153-6404
	(540) 982-2463
	(123) 456-7890

Map and Direction

Provider's Profile

Full Name	Jason Andrew Clark
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1970 Roanoke Blvd, Salem, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902101959
Provider Enumeration Date: 01/24/2011
Last Update Date: 10/19/2015

Medicare PECOS Information:

PECOS PAC ID: 9436330321
Enrollment ID: I20110225000168

Medical Identifiers

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

Identifier	Type	State	Issuer
1902101959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	00274169178 (Virginia)	Primary

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. Jason Andrew Clark allows following entities to bill medicare on his behalf.

Entity Name	Acv Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881927259 PECOS PAC ID: 3870633936 Enrollment ID: O20091221000602

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. Jason Andrew 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
Jason Andrew Clark, CRNA 1970 Roanoke Blvd, Salem, VA 24153-6404 Ph: (540) 982-2463	Jason Andrew Clark, CRNA 1970 Roanoke Blvd, Salem, VA 24153-6404 Ph: (540) 982-2463

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Salem, VA

Kristin Mirenda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-493-4581
Maria D Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Anesthesia Department, Salem, VA 24153 Phone: 540-776-4000
Whitney Bateman Linse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd., Anesthesia Department, Salem, VA 24153 Phone: 540-266-9306
Victoria Ballantyne, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 438 W Main St, Salem, VA 24153 Phone: 540-378-5276
Kathryn B Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-493-4581 Fax: 770-237-1727
Barbara Weiserbs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3600 Fax: 540-725-4543
Gregory K Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Anesthesia Department, Salem, VA 24153 Phone: 866-224-2413

Jason Andrew Clark, CRNA - Medicare Nurse Anesthetist, Certified Registered in Salem, VA