Sandra B Clark, CRNA in Baton Rouge, LA - Medicare Nurse Anesthetist, Certified Registered

Sandra B Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Baton Rouge, Louisiana. Her current practice location is 8212 Summa Ave, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 769-4403.

Sandra B Clark is licensed to practice in Louisiana (license number RN039057 AP01415) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972711141.

Contact Information

	Sandra B Clark, CRNA
	8212 Summa Ave, Baton Rouge, LA 70809-3421
	(225) 769-4403
	(225) 769-4403

Map and Direction

Provider's Profile

Full Name	Sandra B Clark
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	8212 Summa Ave, Baton Rouge, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972711141
Provider Enumeration Date: 05/19/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1153591292
Enrollment ID: I20110830000021

Medical Identifiers

Medical identifiers for Sandra B Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972711141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN039057 AP01415 (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. Sandra B Clark allows following entities to bill medicare on her behalf.

Entity Name	Anesthesiology Group Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255399598 PECOS PAC ID: 0042110298 Enrollment ID: O20040113000117

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. Sandra B 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
Sandra B Clark, CRNA 8212 Summa Ave, Baton Rouge, LA 70809-3421 Ph: (225) 769-4403	Sandra B Clark, CRNA 8212 Summa Ave, Baton Rouge, LA 70809-3421 Ph: (225) 769-4403

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Baton Rouge, LA

Toni Tolar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8325 Kelwood Ave, Baton Rouge, LA 70806 Phone: 225-929-7600 Fax: 225-930-7524
Holli B Cordell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7145 Perkins Road, Baton Rouge, LA 70808 Phone: 225-769-4403 Fax: 225-769-4403
Amy Johnson, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 301, Baton Rouge, LA 70808 Phone: 225-214-6438
Mrs. Courtney Day Passman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7145 Perkins Road, Baton Rouge, LA 70808 Phone: 225-765-3111 Fax: 225-765-3114
Denise N Baumgartner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8212 Summa Ave, Baton Rouge, LA 70809 Phone: 225-769-4403 Fax: 225-769-3842
Kaley Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-765-8541
Alton J Ardoin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7855 Howell Blvd, Baton Rouge, LA 70807 Phone: 225-358-4900

Sandra B Clark, CRNA - Medicare Nurse Anesthetist, Certified Registered in Baton Rouge, LA