Robert D Clark, CRNA in Lafayette, LA - Medicare Nurse Anesthetist, Certified Registered

Robert D Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lafayette, Louisiana. His current practice location is 611 Saint Landry St, Lafayette, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 289-2966.

Robert D Clark is licensed to practice in Louisiana (license number 2021) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720198922.

Contact Information

	Robert D Clark, CRNA
	611 Saint Landry St, Lafayette, LA 70506-4627
	(337) 289-2966
	(337) 289-2776

Map and Direction

Provider's Profile

Full Name	Robert D Clark
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	611 Saint Landry St, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720198922
Provider Enumeration Date: 08/30/2006
Last Update Date: 03/28/2008

Medicare PECOS Information:

PECOS PAC ID: 4486648649
Enrollment ID: I20040412000449

Medical Identifiers

Medical identifiers for Robert D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720198922	NPI	-	NPPES
1393185	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2021 (Louisiana)	Primary

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 D Clark allows following entities to bill medicare on his behalf.

Entity Name	Youngs Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608

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 D 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
Robert D Clark, CRNA Po Box 53864, Lafayette, LA 70505-3864 Ph: (337) 289-2966	Robert D Clark, CRNA 611 Saint Landry St, Lafayette, LA 70506-4627 Ph: (337) 289-2966

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lafayette, LA

Charles L. Papadakes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-988-4298
Mr. Stephen Kyle Chauvin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 314 Youngsville Hwy, Lafayette, LA 70508 Phone: 337-706-1500
Brittany Dibetta Belk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Republic Ave, Apt 6105, Lafayette, LA 70508 Phone: 504-451-4464
Paula L. Simon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 W Congress St, Suite 3200, Lafayette, LA 70506 Phone: 337-981-3546
Mr. Bowen J Landry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Saint Landry St, Lafayette, LA 70506 Phone: 337-289-2966 Fax: 337-289-2776
Dexter Paul Guidry Ii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4212 W Congress St, Suite 3200, Lafayette, LA 70506 Phone: 337-981-3546 Fax: 337-988-4298
Mr. Jude L Guillory, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-988-4298

Robert D Clark, CRNA - Medicare Nurse Anesthetist, Certified Registered in Lafayette, LA