Karly Michelle Clark, - Medicare Nurse Anesthetist, Certified Registered in Spokane, WA

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Karly Michelle Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Spokane, Washington. Her current practice location is 101 W 8th Ave, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 747-3131.

Karly Michelle Clark is licensed to practice in Washington (license number AP61446232) 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 1760014450.

Contact Information

Karly Michelle Clark,
101 W 8th Ave,
Spokane, WA 99204-2307
(509) 747-3131
Not Available

Map and Direction




Provider's Profile

Full NameKarly Michelle Clark
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location101 W 8th Ave, Spokane, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760014450
  • Provider Enumeration Date: 02/10/2020
  • Last Update Date: 01/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789048620
  • Enrollment ID: I20230912001008

Medical Identifiers

Medical identifiers for Karly Michelle Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760014450NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered AP61446232 (Washington)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. Karly Michelle Clark allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194099390
PECOS PAC ID: 0345139929
Enrollment ID: O20040311001453
Entity NameProvidence Health & Service- Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508118555
PECOS PAC ID: 0840279758
Enrollment ID: O20090717000201

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. Karly Michelle 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 AddressPractice Location Address
Karly Michelle Clark,
Po Box 4069,
Everett, WA 98204-0007

Ph: (425) 407-1000		Karly Michelle Clark,
101 W 8th Ave,
Spokane, WA 99204-2307

Ph: (509) 747-3131

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Spokane, WA

Chelsea Posenjak,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 W 8th Ave, Spokane, WA 99204
Phone: 509-474-3131    
Leah Nicole Triulzi, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 800 W 5th Ave, Spokane, WA 99204
Phone: 509-473-5800    
Amber George, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 W 8th Ave, Spokane, WA 99204
Phone: 509-474-3181    Fax: 509-227-7070
Miss Diana Marie Bouge, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 W 8th Ave, Spokane, WA 99204
Phone: 509-474-3131    
Douglas G Demmert, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 842 S Cowley St, Ste 3, Spokane, WA 99202
Phone: 509-939-3483    Fax: 509-228-9542
Krista Hillary Baca, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 104 W 5th Ave, Suite 250e, Spokane, WA 99204
Phone: 509-838-1547    Fax: 509-835-4058
Mrs. Karli Meehan,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 800 W 5th Ave, Spokane, WA 99204
Phone: 509-458-5800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.