Jon Albert Clark, CRNA in Greenville, SC - Medicare Certified Registered Nurse Anesthetist (crna)

Jon Albert Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Greenville, South Carolina. He graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Atlantic Coast Anesthesia Services Pc and his current practice location is 7 Independence Pt Ste 300, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 522-3700.

Jon Albert Clark is licensed to practice in South Carolina (license number 22193) 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 1285675702.

Contact Information

	Jon Albert Clark, CRNA
	7 Independence Pt Ste 300, Greenville, SC 29615-4569
	(864) 522-3700
	(864) 522-3705

Map and Direction

Provider's Profile

Full Name	Jon Albert Clark
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	26 Years
Location	7 Independence Pt Ste 300, Greenville, South Carolina
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:

Jon Albert Clark graduated from nursing school in 1998

NPI Data:

NPI Number: 1285675702
Provider Enumeration Date: 06/08/2006
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 5799740833
Enrollment ID: I20181025002765

Medical Identifiers

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

Identifier	Type	State	Issuer
1285675702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	22193 (South Carolina)	Primary
367500000X	Nurse Anesthetist, Certified Registered	4704263474 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grand Strand Regional Medical Center	Myrtle beach, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Atlantic Coast Anesthesia Services Pc	3971887167	87

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. Jon Albert Clark allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Prisma Health-upstate
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767

Entity Name	Atlantic Coast Anesthesia Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932641313 PECOS PAC ID: 3971887167 Enrollment ID: O20170308000291

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. Jon Albert 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
Jon Albert Clark, CRNA 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Jon Albert Clark, CRNA 7 Independence Pt Ste 300, Greenville, SC 29615-4569 Ph: (864) 522-3700

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Greenville, SC

Paul Derek Street, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705
Ashley Ann Alguire, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705
Mr. J Ross Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705
George R Sweet, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Anesthesia Dept, Greenville, SC 29605 Phone: 864-455-7111
Jennifer Webb George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7111 Fax: 864-455-6441
Amanda Tipton Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-522-2286
Tyler Withrow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7000

Jon Albert Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Greenville, SC