Amie Melissa Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ballwin, MO

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Amie Melissa Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ballwin, Missouri. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Sentry Anesthesia Management, Llc and her current practice location is 13515 Barrett Parkway Dr, Suite 170, Ballwin, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 775-2811.

Amie Melissa Clark is licensed to practice in Missouri (license number 2016017057) 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 1053617589.

Contact Information

Amie Melissa Clark, CRNA
13515 Barrett Parkway Dr, Suite 170,
Ballwin, MO 63021-5870
(314) 775-2811
Not Available

Map and Direction




Provider's Profile

Full NameAmie Melissa Clark
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location13515 Barrett Parkway Dr, Ballwin, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amie Melissa Clark graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1053617589
  • Provider Enumeration Date: 01/31/2011
  • Last Update Date: 04/25/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7113102914
  • Enrollment ID: I20191108003048

Medical Identifiers

Medical identifiers for Amie Melissa Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053617589NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041.389801 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 086232 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered 2016017057 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Newton HospitalCovington, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sentry Anesthesia Management, Llc9436372323207

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. Amie Melissa Clark allows following entities to bill medicare on her behalf.
Entity NameGastroenterology Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942563242
PECOS PAC ID: 3779730080
Enrollment ID: O20120821000929
Entity NameSentry Anesthesia Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571
Entity NameCoastal Ambulatory Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750753786
PECOS PAC ID: 1052613023
Enrollment ID: O20160107001775
Entity NameGi Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326569187
PECOS PAC ID: 0446516769
Enrollment ID: O20171102000283
Entity NameLotus Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528603925
PECOS PAC ID: 3577990639
Enrollment ID: O20200302001063
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20200508002106
Entity NameLake Lanier Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003443722
PECOS PAC ID: 4082061635
Enrollment ID: O20231103002222
Entity NameOconee River Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992325641
PECOS PAC ID: 9739536145
Enrollment ID: O20231107001362

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. Amie 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
Amie Melissa Clark, CRNA
3975 Wilmington Ave, Apt A,
Saint Louis, MO 63116-3250

Ph: (314) 280-8157		Amie Melissa Clark, CRNA
13515 Barrett Parkway Dr, Suite 170,
Ballwin, MO 63021-5870

Ph: (314) 775-2811

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ballwin, MO

Eva C Schulte, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 13515 Barrett Parkway Dr, Ste 170, Ballwin, MO 63021
Phone: 314-775-2811    Fax: 314-775-2821
Mike Downing, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6 Mandalay Dr, Ballwin, MO 63021
Phone: 636-227-5297    
Angela Fritschle, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 351 Consort Dr, Ballwin, MO 63011
Phone: 636-200-4242    
Heather Stephanie Mcmillen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 339 Consort Dr, Ballwin, MO 63011
Phone: 503-851-7603    
Ms. Lisa M. Mcgivern, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 339 Consort Dr, Ballwin, MO 63011
Phone: 636-386-9224    Fax: 636-386-7679
Yordanka Lambova, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 170 Auld Spanish Ct Apt B, Ballwin, MO 63011
Phone: 314-494-9069    
Mr. Ronald E Norwood, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 351 Consort Dr, Ballwin, MO 63011
Phone: 636-200-4242    Fax: 636-200-4243

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.