Jason Clark, in Jackson, TN - Medicare Certified Registered Nurse Anesthetist (crna)

Jason Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Tennessee. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lifelinc Anesthesia Pllc and his current practice location is 620 Skyline Drive, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 541-7070.

Jason Clark is licensed to practice in Tennessee (license number 16994) 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 1306197348.

Contact Information

	Jason Clark,
	620 Skyline Drive, Jackson, TN 38301
	(731) 541-7070
	Not Available

Map and Direction

Provider's Profile

Full Name	Jason Clark
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	620 Skyline Drive, Jackson, Tennessee
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:

Jason Clark graduated from nursing school in 2012

NPI Data:

NPI Number: 1306197348
Provider Enumeration Date: 10/01/2012
Last Update Date: 10/01/2012

Medicare PECOS Information:

PECOS PAC ID: 4284884834
Enrollment ID: I20141018000089

Medical Identifiers

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

Identifier	Type	State	Issuer
1306197348	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	16994 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital North Ms	Oxford, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifelinc Anesthesia Pllc	0941347447	121

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 Clark allows following entities to bill medicare on his behalf.

Entity Name	Willow Anesthesia Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308

Entity Name	Lifelinc Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277

Entity Name	Resource Anesthesiology Associates Of Tn Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316724073 PECOS PAC ID: 8527419092 Enrollment ID: O20240111002755

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 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 Clark, 620 Skyline Drive, Jackson, TN 38301 Ph: () -	Jason Clark, 620 Skyline Drive, Jackson, TN 38301 Ph: (731) 541-7070

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jackson, TN

Robert Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 367 Hospital Blvd, Jackson, TN 38305 Phone: 731-661-2227
Brendan Mckinney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075
Ryan Shephard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075
Daniel T Hurst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-668-1853 Fax: 731-664-7731
Pamela J Austin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-662-1853 Fax: 731-664-7731
Jason L. Hooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000
Kenneth W Hutchinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17c Brentshire Square, Jackson, TN 38305 Phone: 731-664-1717 Fax: 731-664-7114

Jason Clark, - Medicare Certified Registered Nurse Anesthetist (crna) in Jackson, TN