Kit Clark, CRNA in Laconia, NH - Medicare Nurse Anesthetist, Certified Registered

Kit Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Laconia, New Hampshire. His current practice location is 80 Highland St, Laconia, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 524-3211.

Kit Clark is licensed to practice in New Hampshire (license number 047303) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366512394.

Contact Information

	Kit Clark, CRNA
	80 Highland St, Laconia, NH 03246-3235
	(603) 524-3211
	Not Available

Map and Direction

Provider's Profile

Full Name	Kit Clark
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	80 Highland St, Laconia, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366512394
Provider Enumeration Date: 11/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1355364514
Enrollment ID: I20060113000365

Medical Identifiers

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

Identifier	Type	State	Issuer
1366512394	NPI	-	NPPES
30340919	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	047303 (New Hampshire)	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. Kit Clark allows following entities to bill medicare on his behalf.

Entity Name	Lrghealthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700976032 PECOS PAC ID: 8820908189 Enrollment ID: O20040303000982

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. Kit 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
Kit Clark, CRNA Po Box 1328, Auburn, ME 04211-1328 Ph: (207) 784-9185	Kit Clark, CRNA 80 Highland St, Laconia, NH 03246-3235 Ph: (603) 524-3211

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Laconia, NH

Nicholas P Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Highland St, Laconia, NH 03246 Phone: 603-524-3211
Ms. Cynthia Elaine Palage, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Highland St, Laconia, NH 03246 Phone: 603-524-3211
Christina E Frix, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Lakes Region Anesthesiology, Pa, 80 Highland Street, Laconia, NH 03246 Phone: 603-524-3211
Benjamin L Stafford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Highland Street, Laconia, NH 03246 Phone: 603-524-3211 Fax: 660-826-4852

Kit Clark, CRNA - Medicare Nurse Anesthetist, Certified Registered in Laconia, NH