Mrs Rebecca Sue Clark, CRNA, MS, BSN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boone, Iowa. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Boone County Hospital and 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 | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 19 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. |
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Medical Education and Training:
- Mrs Rebecca Sue Clark graduated from nursing school in 2005
NPI Data:
- NPI Number: 1477669513
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 10/17/2009
Medicare PECOS Information:
- PECOS PAC ID: 1355426255
- Enrollment ID: I20080317000058
Medical Identifiers
Medical identifiers for Mrs Rebecca Sue Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477669513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 113814 (Iowa) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 074139 (Iowa) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Boone County Hospital | 7416840335 | 10 |
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 Rebecca Sue Clark allows following entities to bill medicare on her behalf.
| Entity Name | Boone County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467434225
PECOS PAC ID: 7416840335
Enrollment ID: O20040204001048 |
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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 |
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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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