Thomas Bennett Clark Jr, CRNA in Seattle, WA - Medicare Certified Registered Nurse Anesthetist (crna)

Thomas Bennett Clark Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Seattle, Washington. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Yakima Valley Memorial Physicians and his current practice location is 1959 Ne Pacific St, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 520-5000.

Thomas Bennett Clark Jr is licensed to practice in Washington (license number AP60093669) 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 1245301894.

Contact Information

	Thomas Bennett Clark Jr, CRNA
	1959 Ne Pacific St, Seattle, WA 98195-0001
	(206) 520-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Thomas Bennett Clark Jr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	1959 Ne Pacific St, Seattle, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Thomas Bennett Clark Jr graduated from nursing school in 2006

NPI Data:

NPI Number: 1245301894
Provider Enumeration Date: 11/13/2006
Last Update Date: 08/15/2024

Medicare PECOS Information:

PECOS PAC ID: 7810050002
Enrollment ID: I20101220001178

Medical Identifiers

Medical identifiers for Thomas Bennett Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245301894	NPI	-	NPPES
2010101	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP60093669 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Virginia Mason Memorial	Yakima, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Yakima Valley Memorial Physicians	1557391596	257

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. Thomas Bennett Clark Jr allows following entities to bill medicare on his behalf.

Entity Name	Franciscan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789

Entity Name	Yakima Valley Memorial Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306933940 PECOS PAC ID: 1557391596 Enrollment ID: O20050818000714

Entity Name	Gastroenterology Associates Clinical Practice Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811556442 PECOS PAC ID: 2062770605 Enrollment ID: O20191025001578

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. Thomas Bennett Clark Jr 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
Thomas Bennett Clark Jr, CRNA Po Box 50095, Seattle, WA 98145-5095 Ph: () -	Thomas Bennett Clark Jr, CRNA 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

Thomas Bennett Clark Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Seattle, WA