Mr Richard D Clark, RN ARNP CRNA - Medicare Nurse Anesthetist, Certified Registered in Lansing, IL

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Mr Richard D Clark, RN ARNP CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lansing, Illinois. His current practice location is 18221 Torrence Ave, Lansing, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 895-9450.

Mr Richard D Clark is licensed to practice in Illinois (license number 09.006191) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659355121.

Contact Information

Mr Richard D Clark, RN ARNP CRNA
18221 Torrence Ave,
Lansing, IL 60438-2870
(708) 895-9450
Not Available

Map and Direction




Provider's Profile

Full NameMr Richard D Clark
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location18221 Torrence Ave, Lansing, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659355121
  • Provider Enumeration Date: 11/30/2005
  • Last Update Date: 05/21/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1759363195
  • Enrollment ID: I20070522000573

Medical Identifiers

Medical identifiers for Mr Richard D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659355121NPI-NPPES
161280OtherBCBS OF KANSAS
481192875OtherHUMANA
P00155221OtherRR MEDICARE
P13178OtherPREMIER HEALTH PLANS
27862039OtherBCBS OF KANSAS CITY
27862039OtherPREFERRED HEALTH PROFESSI
27862039OtherPREFERRED CARE BLUE
481192875OtherUNITED HEALTH CARE
481192875OtherCOVENTRY
915697213MedicaidMO
481192875OtherCIGNA
481192875OtherAETNA
100385650COtherKANSAS MEDICAL ASSISTISTA
10001771600OtherCOMMUNITY HEALTH PLAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 1484659051 (Kansas)Secondary
163W00000XRegistered Nurse 134677 (Missouri)Secondary
363L00000XNurse Practitioner 54725 (Kansas)Secondary
367500000XNurse Anesthetist, Certified Registered 54725 (Kansas)Secondary
367500000XNurse Anesthetist, Certified Registered 134677 (Missouri)Secondary
367500000XNurse Anesthetist, Certified Registered 09.006191 (Illinois)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. Mr Richard D Clark allows following entities to bill medicare on his behalf.
Entity NameAmbulatory Anesthesiologists Of Chicago Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659306272
PECOS PAC ID: 4284605171
Enrollment ID: O20040804000481
Entity NameIllinois Gastroenterology Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316277817
PECOS PAC ID: 5193857423
Enrollment ID: O20100721000790
Entity NameChil Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124682414
PECOS PAC ID: 3870836190
Enrollment ID: O20190529002707

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. Mr Richard D 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
Mr Richard D Clark, RN ARNP CRNA
18221 Torrence Ave,
Lansing, IL 60438-2870

Ph: (708) 895-9408		Mr Richard D Clark, RN ARNP CRNA
18221 Torrence Ave,
Lansing, IL 60438-2870

Ph: (708) 895-9450

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Lansing, IL

Ruta Shabez, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 18221 Torrence Ave, Suite 1b, Lansing, IL 60438
Phone: 708-895-9450    Fax: 708-895-9455
Julie A. Flynn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 18221 Torrence Ave, Lansing, IL 60438
Phone: 708-895-9450    
Mr. Zachary Tyler Smith, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 18221 Torrence Ave, Suite 1-b, Lansing, IL 60438
Phone: 708-895-9450    Fax: 708-895-9455
Eileen Boetel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 18221 Torrence Ave, Lansing, IL 60438
Phone: 708-895-9450    
Mrs. Maria-paz Salazar Shariff, RN, CRNA, MS
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 18221 Torrence Ave Ste 1b, Lansing, IL 60438
Phone: 708-895-9450    
Ms. Levorn Mccain-jones, APN CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 18221 Torrence Ave, Lansing, IL 60438
Phone: 708-895-9450    
Ms. Tara M Galambos, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 18221 Torrence Ave Ste 1b, Lansing, IL 60438
Phone: 708-895-9450    

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.