Jennifer Clark, in Minneapolis, MN - Medicare Nurse Anesthetist, Certified Registered

Jennifer Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Minneapolis, Minnesota. Her current practice location is 1 Veterans Dr, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (701) 866-3633.

Jennifer Clark is licensed to practice in Minnesota (license number R184963-9) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235443649.

Contact Information

	Jennifer Clark,
	1 Veterans Dr, Minneapolis, MN 55417-2309
	(701) 866-3633
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Clark
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1 Veterans Dr, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235443649
Provider Enumeration Date: 07/28/2010
Last Update Date: 07/25/2014

Medicare PECOS Information:

PECOS PAC ID: 9739309675
Enrollment ID: I20220202001816

Medical Identifiers

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

Identifier	Type	State	Issuer
1235443649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R184963-9 (Minnesota)	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. Jennifer Clark allows following entities to bill medicare on her behalf.

Entity Name	Allied Anesthesia Associates P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750330742 PECOS PAC ID: 0042118069 Enrollment ID: O20040203000134

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. Jennifer 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
Jennifer Clark, 5853 Logan Ave S, Minneapolis, MN 55419-2044 Ph: (701) 866-3633	Jennifer Clark, 1 Veterans Dr, Minneapolis, MN 55417-2309 Ph: (701) 866-3633

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Minneapolis, MN

Mrs. Angela Renae Mund, MS CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-3393
Nancy S Hawley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3152 Fax: 612-904-4218
Drew David Mathews, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302
Joyce Sia Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302
Sara Jayne Armbruster, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8170 33rd Avenue South, Ms 21110q, Minneapolis, MN 55440 Phone: 952-883-7172 Fax: 952-883-5395
Linh Tran Geist, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302
Asal Salehpoor Driscoll, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6273

Jennifer Clark, - Medicare Nurse Anesthetist, Certified Registered in Minneapolis, MN