Lori A Clark, CRNA in Bethlehem, PA - Medicare Certified Registered Nurse Anesthetist (crna)

Lori A Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bethlehem, Pennsylvania. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia Specialists Of Bethlehem Pc and her current practice location is 801 Ostrum St, Bethlehem, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 954-5810.

Lori A Clark is licensed to practice in Pennsylvania (license number 076891) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134288251.

Contact Information

	Lori A Clark, CRNA
	801 Ostrum St, Bethlehem, PA 18015-1000
	(610) 954-5810
	(610) 954-5480

Map and Direction

Provider's Profile

Full Name	Lori A Clark
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	801 Ostrum St, Bethlehem, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lori A Clark graduated from nursing school in 2006

NPI Data:

NPI Number: 1134288251
Provider Enumeration Date: 12/06/2006
Last Update Date: 10/12/2022

Medicare PECOS Information:

PECOS PAC ID: 6204837230
Enrollment ID: I20070118000119

Medical Identifiers

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

Identifier	Type	State	Issuer
1134288251	NPI	-	NPPES
1580856	Other	PA	GATEWAY
1924485	Other	PA	FIRST PRIORITY
11802986	Other	PA	CAQH
104166	Other	PA	GEISINGER
50065227	Other	PA	CAPITAL ADVANTAGE
9696443	Other	PA	AETNA
1924485	Other	PA	HIGHMARK
1027796550001	Medicaid	PA
2792759000	Other	PA	IBC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN-507355-L (Pennsylvania)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	076891 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Hospital - Anderson Campus	Easton, PA	Hospital
St Luke's Hospital Bethlehem	Bethlehem, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Specialists Of Bethlehem Pc	1355254533	211

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. Lori A Clark allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Specialists Of Bethlehem Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851349302 PECOS PAC ID: 1355254533 Enrollment ID: O20031112000676

Entity Name	Lehigh Valley Anesthesia Services, P. C.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730174731 PECOS PAC ID: 8820992183 Enrollment ID: O20031120000076

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. Lori A 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
Lori A Clark, CRNA Po Box 5520, Bethlehem, PA 18015-0520 Ph: (610) 954-5810	Lori A Clark, CRNA 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: (610) 954-5810

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Bethlehem, PA

Dr. Amy Lynn Morrissey, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-954-5810 Fax: 610-954-5480
Andrew Hornick, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-954-5810
Bohdan Khromenko, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3659 Ironstone Rd, Bethlehem, PA 18020 Phone: 267-575-3619
Elaine Carboni, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Brighton St, # 202, Bethlehem, PA 18015 Phone: 610-954-8040
Ms. Diane M. Gaw, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-954-5810 Fax: 610-954-5480
Mr. Humberto Ortiz Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 W Broad St, Bethlehem, PA 18018 Phone: 610-954-8040
Christine M Rutkowski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 425 Brighton St, # 202, Bethlehem, PA 18015 Phone: 610-954-8040

Lori A Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Bethlehem, PA