Jeffrey Scott Clark, CRNA in Johnson City, TN - Medicare Certified Registered Nurse Anesthetist (crna)

Jeffrey Scott Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Johnson City, Tennessee. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice American Anesthesiology Of Virginia Pc and his current practice location is 400 N State Of Franklin Rd, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 431-6111.

Jeffrey Scott Clark is licensed to practice in Tennessee (license number 14744) 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 1811103138.

Contact Information

	Jeffrey Scott Clark, CRNA
	400 N State Of Franklin Rd, Johnson City, TN 37604-6035
	(423) 431-6111
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeffrey Scott Clark
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	400 N State Of Franklin Rd, Johnson City, 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:

Jeffrey Scott Clark graduated from nursing school in 2021

NPI Data:

NPI Number: 1811103138
Provider Enumeration Date: 05/15/2007
Last Update Date: 12/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3870693815
Enrollment ID: I20230301000983

Medical Identifiers

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

Identifier	Type	State	Issuer
1811103138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	14744 (Tennessee)	Primary
367500000X	Nurse Anesthetist, Certified Registered	0024185771 (Virginia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henrico Doctors' Hospital	Richmond, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
American Anesthesiology Of Virginia Pc	6800790023	542

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. Jeffrey Scott Clark allows following entities to bill medicare on his behalf.

Entity Name	American Anesthesiology Of Virginia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606

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. Jeffrey Scott 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
Jeffrey Scott Clark, CRNA 1009 Lark St Ste 2, Johnson City, TN 37604-8218 Ph: (423) 283-0776	Jeffrey Scott Clark, CRNA 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 Ph: (423) 431-6111

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Johnson City, TN

Shawn D Bright, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-283-0549
Lisa W Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Lark St, Suite 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-283-0549
Marcos D Demoura, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 818 Sunset Dr Ste 103, Johnson City, TN 37604 Phone: 423-794-3142
Chasity A Huffman, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-968-5697
Mrs. Jewel B Welch, CRNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr, Johnson City, TN 37604 Phone: 423-283-0776
Johnny Lee Estep, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr, Johnson City, TN 37604 Phone: 423-282-0776
Samuel V Davenport, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-6111

Jeffrey Scott Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Johnson City, TN