Mrs Lisa Marie Clark, CAA in Cleveland, OH - Medicare Anesthesiology Assistant

Mrs Lisa Marie Clark, CAA is a medicare enrolled "Anesthesiologist Assistant" in Cleveland, Ohio. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Indiana University Health Care Associates Inc and her current practice location is 11100 Euclid Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 844-5583.

Mrs Lisa Marie Clark is licensed to practice in Ohio (license number 67000102) 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 1215998927.

Contact Information

	Mrs Lisa Marie Clark, CAA
	11100 Euclid Ave, Cleveland, OH 44106-1716
	(216) 844-5583
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lisa Marie Clark
Gender	Female
Speciality	Anesthesiology Assistant
Experience	21 Years
Location	11100 Euclid Ave, Cleveland, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Lisa Marie Clark graduated from nursing school in 2003

NPI Data:

NPI Number: 1215998927
Provider Enumeration Date: 03/31/2006
Last Update Date: 08/18/2023

Medicare PECOS Information:

PECOS PAC ID: 6002709243
Enrollment ID: I20190918000703

Medical Identifiers

Medical identifiers for Mrs Lisa Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215998927	NPI	-	NPPES
185M9	Other	NC	BCBS
2438348	Medicaid	OH
377459	Other	OH	ANTHEM BCBS
1215998927	Other	NC	TRICARE
1215998927	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	75000044A (Indiana)	Secondary
367H00000X	Anesthesiologist Assistant	1000-00543 (North Carolina)	Secondary
367H00000X	Anesthesiologist Assistant	67000102 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health North Hospital	Carmel, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana University Health Care Associates Inc	5799755864	905

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. Mrs Lisa Marie Clark allows following entities to bill medicare on her behalf.

Entity Name	Iu Anesthesiology Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684407 PECOS PAC ID: 5395730303 Enrollment ID: O20040419001228

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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. Mrs Lisa Marie 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 Address	Practice Location Address
Mrs Lisa Marie Clark, CAA 11100 Euclid Ave, Cleveland, OH 44106-1716 Ph: (216) 844-5583	Mrs Lisa Marie Clark, CAA 11100 Euclid Ave, Cleveland, OH 44106-1716 Ph: (216) 844-5583

Reviews and Comments

Anesthesiologist Assistant Nurses in Cleveland, OH

Shannon Kelly, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800
Olivia Kehoe, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-1000
Brian Michael Wheatley, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800
Nicole M Moses, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800
Michael Marcotte, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800
Thomas Bruno, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-7330
Gregory G Kychun, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-7330

Mrs Lisa Marie Clark, CAA - Medicare Anesthesiology Assistant in Cleveland, OH