Melissa Clark, - Medicare Nurse Anesthetist, Certified Registered in Columbus, OH

  1. Home
  2. Nurse Anesthetist - CR
  3. OH
  4. Columbus
Melissa Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Columbus, Ohio. Her current practice location is 410 W 10th Ave Fl 1, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 293-8487.

Melissa Clark is licensed to practice in Ohio (license number APRN.CRNA.0020839) 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 1710557871.

Contact Information

Melissa Clark,
410 W 10th Ave Fl 1,
Columbus, OH 43210-1240
(614) 293-8487
(614) 293-8153

Map and Direction




Provider's Profile

Full NameMelissa Clark
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location410 W 10th Ave Fl 1, Columbus, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710557871
  • Provider Enumeration Date: 06/30/2021
  • Last Update Date: 05/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4082084546
  • Enrollment ID: I20221228002244

Medical Identifiers

Medical identifiers for Melissa Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710557871NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN.372889 (Ohio)Secondary
367500000XNurse Anesthetist, Certified Registered APRN.CRNA.0020839 (Ohio)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. Melissa Clark allows following entities to bill medicare on her behalf.
Entity NameUniversity Primary Care Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003935339
PECOS PAC ID: 3072417534
Enrollment ID: O20031125000767
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301
Entity NameSafe Anesthesia Geneva Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821327636
PECOS PAC ID: 4385771997
Enrollment ID: O20100429000743

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. Melissa 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
Melissa Clark,
700 Ackerman Rd Ste 2120,
Columbus, OH 43202-1559

Ph: (614) 293-8487		Melissa Clark,
410 W 10th Ave Fl 1,
Columbus, OH 43210-1240

Ph: (614) 293-8487

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Columbus, OH

Ronee D Trussel, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5151 Reed Rd, Suite 225-c, Columbus, OH 43220
Phone: 614-457-2306    Fax: 614-884-0776
Rachel Marie Ashworth, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 410 W 10th Ave, Columbus, OH 43210
Phone: 614-293-8487    
Tony Tre Lybarger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Grant Ave Fl 3, Columbus, OH 43215
Phone: 614-566-9871    
Mary Carol F Shurman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 410 W 10th Ave, Columbus, OH 43210
Phone: 614-293-8487    Fax: 614-293-8153
Gina M. Reno, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 410 W 10th Ave, N416 Doan Hall, Columbus, OH 43210
Phone: 614-293-4705    
Alyson F. Kuhn, APRN.CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 410 W 10th Ave, Columbus, OH 43210
Phone: 614-293-8487    Fax: 614-293-8153
Lisa Christine Novak, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Olentangy River Rd, Columbus, OH 43214
Phone: 614-566-4919    

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.