Mark W Clark, CRNA - Medicare in Kennett, MO

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Mark W Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kennett, Missouri. His current practice location is 1201 First St, Kennett, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 888-4522.

Mark W Clark is licensed to practice in Missouri (license number 087215) 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 1154549061.

Contact Information

Mark W Clark, CRNA
1201 First St,
Kennett, MO 63857
(573) 888-4522
Not Available

Map and Direction




Provider's Profile

Full NameMark W Clark
GenderMale
Speciality
Experience Years
Location1201 First St, Kennett, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark W Clark attended and graduated from in
  NPI Data:
  • NPI Number: 1154549061
  • Provider Enumeration Date: 04/23/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Mark W Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154549061NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 087215 (Missouri)Primary

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. Mark W 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 AddressPractice Location Address
Mark W Clark, CRNA
12661 Foxwood Pt,
Poplar Bluff, MO 63901-7745

Ph: (573) 686-7622		Mark W Clark, CRNA
1201 First St,
Kennett, MO 63857

Ph: (573) 888-4522

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Kennett, MO

John M Ricketts, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1231 1st St, Kennett, MO 63857
Phone: 573-888-4522    
Mallory Elizabeth Stith, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1301 1st St, Kennett, MO 63857
Phone: 573-718-4038    
Justin Smith, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1301 1st St, Kennett, MO 63857
Phone: 573-686-5550    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.