Kristin D Clark, CRNA in Lebanon, NH - Medicare Nurse Anesthetist, Certified Registered

Kristin D Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lebanon, New Hampshire. Her current practice location is 1 Medical Center Dr Dept Of, Lebanon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 650-5922.

Kristin D Clark is licensed to practice in Maine (license number R034805) 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 1942465810.

Contact Information

	Kristin D Clark, CRNA
	1 Medical Center Dr Dept Of, Lebanon, NH 03756-0001
	(603) 650-5922
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristin D Clark
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1 Medical Center Dr Dept Of, Lebanon, 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: 1942465810
Provider Enumeration Date: 07/21/2008
Last Update Date: 03/29/2021

Medicare PECOS Information:

PECOS PAC ID: 3870660079
Enrollment ID: I20210421002294

Medical Identifiers

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

Identifier	Type	State	Issuer
1942465810	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	051026-23 (New Hampshire)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	R034805 (Maine)	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. Kristin D Clark allows following entities to bill medicare on her behalf.

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

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. Kristin D 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
Kristin D Clark, CRNA 1 Medical Center Dr Dept Of, Lebanon, NH 03756-0001 Ph: (603) 650-5922	Kristin D Clark, CRNA 1 Medical Center Dr Dept Of, Lebanon, NH 03756-0001 Ph: (603) 650-5922

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lebanon, NH

Patrick C Keane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 215-589-0469
Frederic Jon Schaafsma, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Jeffrey C. Horstman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Sarah Marie Zack Hewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Anesthesiology, Lebanon, NH 03756 Phone: 603-650-5922
Mr. Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Mr. Thomas Reyes Iv, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Drive, Anesthesiology, Lebanon, NH 03756 Phone: 603-650-5922
Mrs. Megan Elizabeth Clouse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Anesthesiology, Lebanon, NH 03756 Phone: 603-650-5922

Kristin D Clark, CRNA - Medicare Nurse Anesthetist, Certified Registered in Lebanon, NH