Robert Charles Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Dothan, AL

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Robert Charles Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dothan, Alabama. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Wilson Anesthesia Associates, Llc, Wilson Anesthesia Associates, Llc, Ccsc Anesthesia Llc and his current practice location is 4370 W Main St, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 793-5000.

Robert Charles Clark is licensed to practice in Alabama (license number 1044483) 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 1992766703.

Contact Information

Robert Charles Clark, CRNA
4370 W Main St,
Dothan, AL 36305
(334) 793-5000
(334) 615-8428

Map and Direction




Provider's Profile

Full NameRobert Charles Clark
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience23 Years
Location4370 W Main St, Dothan, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Robert Charles Clark graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1992766703
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 07/25/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4789678095
  • Enrollment ID: I20040412000033

Medical Identifiers

Medical identifiers for Robert Charles Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992766703NPI-NPPES
691173405BMedicaidGA
034384600MedicaidFL
051515739MedicaidAL
51515739OtherALBCBS AL
P00057714OtherRR MCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1044483 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wilson Anesthesia Associates, Llc56989266733
Wilson Anesthesia Associates, Llc56989266733
Ccsc Anesthesia Llc44869716867

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. Robert Charles Clark allows following entities to bill medicare on his behalf.
Entity NameDale Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538275342
PECOS PAC ID: 3476466327
Enrollment ID: O20031107000202
Entity NameHouston County Healthcare Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619026606
PECOS PAC ID: 9436062296
Enrollment ID: O20040219000209
Entity NameSouthern Alabama Surgery Center Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1346349164
PECOS PAC ID: 2062461460
Enrollment ID: O20050112000767
Entity NameGut Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073566006
PECOS PAC ID: 3375589799
Enrollment ID: O20050707000149
Entity NameDothan Anesthesiology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013997857
PECOS PAC ID: 2769417583
Enrollment ID: O20050929001368
Entity NameThe Health Care Authority Of The City Of Eufaula
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730692641
PECOS PAC ID: 9335407659
Enrollment ID: O20180619000582
Entity NameWilson Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104178482
PECOS PAC ID: 5698926673
Enrollment ID: O20240201004319

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. Robert Charles 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
Robert Charles Clark, CRNA
Po Box 6907,
Dothan, AL 36302

Ph: (334) 793-5000		Robert Charles Clark, CRNA
4370 W Main St,
Dothan, AL 36305

Ph: (334) 793-5000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Dothan, AL

Gina L Searcy, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301
Phone: 334-793-8087    Fax: 334-793-8191
Dennis Morrison, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301
Phone: 334-793-8087    Fax: 334-793-8191
Mr. Patrick Francis Lux, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301
Phone: 334-793-8765    Fax: 334-678-2864
Mr. Michael Aaron Allen,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4370 W Main St, Dothan, AL 36305
Phone: 334-793-5000    
Nola Grubbs, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 4370 W Main St, Dothan, AL 36305
Phone: 334-793-5000    Fax: 334-615-8419
Janet Jones, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301
Phone: 334-793-8087    Fax: 334-793-8191
Alto Lee Johnson Iii, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301
Phone: 334-793-8087    Fax: 334-793-8191

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.