Makenna Christie Clark, in Seattle, WA - Medicare Nurse Anesthetist, Certified Registered

Makenna Christie Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Seattle, Washington. Her current practice location is 1959 Ne Pacific St., Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 520-5000.

Makenna Christie Clark is licensed to practice in Washington (license number AP61503436) 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 1992435697.

Contact Information

	Makenna Christie Clark,
	1959 Ne Pacific St., Seattle, WA 98195-0001
	(206) 520-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Makenna Christie Clark
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1959 Ne Pacific St., Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992435697
Provider Enumeration Date: 06/15/2022
Last Update Date: 06/25/2024

Medicare PECOS Information:

PECOS PAC ID: 1254714769
Enrollment ID: I20220816003495

Medical Identifiers

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

Identifier	Type	State	Issuer
1992435697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP61503436 (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. Makenna Christie Clark allows following entities to bill medicare on her behalf.

Entity Name	Valley Anesthesiology Consultants-beckett-pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437326857 PECOS PAC ID: 6507925849 Enrollment ID: O20081031000516

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. Makenna Christie 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
Makenna Christie Clark, Po Box 50095, Seattle, WA 98145-5095 Ph: () -	Makenna Christie Clark, 1959 Ne Pacific St., Seattle, WA 98195-0001 Ph: (206) 520-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Seattle, WA

Timothy D Butterworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000
Mrs. Sara Beth Maples, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Box 356540, Seattle, WA 98195 Phone: 206-598-4260
Simran Kennedy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359724, Seattle, WA 98104 Phone: 206-744-8491 Fax: 206-744-8009
Michael Mielniczek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000
Justin R. Howard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000
Peyton G. Lane, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000
Vanessa Fernandez, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-624-1144

Makenna Christie Clark, - Medicare Nurse Anesthetist, Certified Registered in Seattle, WA