Mrs Rebecca Sue Clark, CRNA, MS, BSN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boone, Iowa. Her current practice location is
1015 Union St, Boone, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 370-1054.
Mrs Rebecca Sue Clark is licensed to practice in Iowa (license number 074139) 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 1477669513.
Provider's Profile
Full Name | Mrs Rebecca Sue Clark |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1015 Union St, Boone, Iowa |
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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 Rebecca Sue Clark attended and graduated from in
NPI Data:
- NPI Number: 1477669513
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 10/17/2009
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Rebecca Sue Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477669513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 113814 (Iowa) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 074139 (Iowa) | Primary |
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 Rebecca Sue 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 Rebecca Sue Clark, CRNA, MS, BSN 411 Ashwood Ct, Boone, IA 50036-7190 Ph: (515) 370-1054 | Mrs Rebecca Sue Clark, CRNA, MS, BSN 1015 Union St, Boone, IA 50036-4821 Ph: (515) 370-1054 |
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