Daniel Ewing Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Idaho Falls, ID

Daniel Ewing Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Idaho Falls, Idaho. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Intermountain Anesthesia Pa and his current practice location is 3100 Channing Way, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 529-6111.

Daniel Ewing Clark is licensed to practice in Idaho (license number 54479) 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 1295267029.

Contact Information

Daniel Ewing Clark, CRNA
3100 Channing Way,
Idaho Falls, ID 83404-7533
(208) 529-6111
Not Available



Provider's Profile

Full NameDaniel Ewing Clark
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location3100 Channing Way, Idaho Falls, Idaho
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:
  • Daniel Ewing Clark graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1295267029
  • Provider Enumeration Date: 03/30/2017
  • Last Update Date: 02/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7214214618
  • Enrollment ID: I20170512001828

Medical Identifiers

Medical identifiers for Daniel Ewing Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295267029NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 54479 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Eastern Idaho Regional Medical CenterIdaho falls, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Anesthesia Pa519363878126

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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. Daniel Ewing Clark allows following entities to bill medicare on his behalf.
Entity NameIntermountain Anesthesia Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558304329
PECOS PAC ID: 5193638781
Enrollment ID: O20040825000367

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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. Daniel Ewing 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
Daniel Ewing Clark, CRNA
3100 Channing Way,
Idaho Falls, ID 83404-7533

Ph: (208) 529-6111
Daniel Ewing Clark, CRNA
3100 Channing Way,
Idaho Falls, ID 83404-7533

Ph: (208) 529-6111

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Nurse Anesthetist, Certified Registered Nurses in Idaho Falls, ID

Reed D Loertscher, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6285    
Mr. David Joseph Swope, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2375 E Sunnyside Rd, Suite B, Idaho Falls, ID 83404
Phone: 208-421-1159    
Carlene M Canfield, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1601 E 17th St, Idaho Falls, ID 83404
Phone: 208-525-2090    Fax: 208-525-2662
Douglas Jex, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6269    
Mr. Bryan Todd Merkley, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2325 Coronado St, Idaho Falls, ID 83404
Phone: 208-557-2700    
Brent Michael Sutherland, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2532 Coronado, Idaho Falls, ID 83404
Phone: 208-557-2700    
Mary Waight, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6269    

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