Leonard Lionel Clark, CRNA in Sherman, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Leonard Lionel Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sherman, Texas. He graduated from nursing school in 1995 and has 30 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Iii Pa and his current practice location is 1801 San Juan Dr, Sherman, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 892-3012.

Leonard Lionel Clark is licensed to practice in Texas (license number 562123) 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 1285794768.

Contact Information

	Leonard Lionel Clark, CRNA
	1801 San Juan Dr, Sherman, TX 75092
	(903) 892-3012
	Not Available

Map and Direction

Provider's Profile

Full Name	Leonard Lionel Clark
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	30 Years
Location	1801 San Juan Dr, Sherman, Texas
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:

Leonard Lionel Clark graduated from nursing school in 1995

NPI Data:

NPI Number: 1285794768
Provider Enumeration Date: 12/12/2006
Last Update Date: 06/05/2018

Medicare PECOS Information:

PECOS PAC ID: 1254228612
Enrollment ID: I20110901000282

Medical Identifiers

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

Identifier	Type	State	Issuer
1285794768	NPI	-	NPPES
045542	Other		AANA CERTIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	78396 (Oklahoma)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	562123 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ut Health East Texas Tyler Regional Hospital	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Iii Pa	0042630501	338

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. Leonard Lionel Clark allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Iii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080

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. Leonard Lionel 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
Leonard Lionel Clark, CRNA Po Box 840853, Dallas, TX 75284-0853 Ph: (972) 233-1999	Leonard Lionel Clark, CRNA 1801 San Juan Dr, Sherman, TX 75092 Ph: (903) 892-3012

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Sherman, TX

Dwight B Herman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Highland Ave, Sherman, TX 75092 Phone: 903-870-4494
Larry Jewell, CRNA RRT Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Highland Ave, Sherman, TX 75092 Phone: 903-891-7000 Fax: 903-893-5334
Ronald Swenson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 N Highland Ave, Sherman, TX 75092 Phone: 903-870-4494
Meredith L. Waldo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 N Highland Ave, Sherman, TX 75092 Phone: 903-891-7000 Fax: 903-893-5334
David Ward Stange, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1303 N Travis St, Sherman, TX 75092 Phone: 903-892-3282 Fax: 903-813-1872
Jean Marie Hunt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 N Highland Ave Ste 107, Sherman, TX 75092 Phone: 903-892-1898 Fax: 903-813-4811

Leonard Lionel Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Sherman, TX