Amie Melissa Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ballwin, MO

Amie Melissa Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ballwin, Missouri. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Sentry Anesthesia Management, Llc and her current practice location is 13515 Barrett Parkway Dr, Suite 170, Ballwin, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 775-2811.

Amie Melissa Clark is licensed to practice in Missouri (license number 2016017057) 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 1053617589.

Contact Information

Amie Melissa Clark, CRNA
13515 Barrett Parkway Dr, Suite 170,
Ballwin, MO 63021-5870
(314) 775-2811
Not Available



Provider's Profile

Full NameAmie Melissa Clark
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location13515 Barrett Parkway Dr, Ballwin, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amie Melissa Clark graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1053617589
  • Provider Enumeration Date: 01/31/2011
  • Last Update Date: 04/25/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7113102914
  • Enrollment ID: I20191108003048

Medical Identifiers

Medical identifiers for Amie Melissa Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053617589NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041.389801 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 086232 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered 2016017057 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Newton HospitalCovington, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sentry Anesthesia Management, Llc9436372323209

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Medicare Reassignments

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Entity NameAnesthesia Consultants Of Athens
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005636
PECOS PAC ID: 2567459902
Enrollment ID: O20040428000654

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Entity NameGastroenterology Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942563242
PECOS PAC ID: 3779730080
Enrollment ID: O20120821000929

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Entity NameSentry Anesthesia Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571

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Entity NameCoastal Ambulatory Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750753786
PECOS PAC ID: 1052613023
Enrollment ID: O20160107001775

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Entity NameGi Anesthesia Of Georgia Llc
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Entity NameLotus Anesthesia Llc
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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. Amie Melissa 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
Amie Melissa Clark, CRNA
3975 Wilmington Ave, Apt A,
Saint Louis, MO 63116-3250

Ph: (314) 280-8157
Amie Melissa Clark, CRNA
13515 Barrett Parkway Dr, Suite 170,
Ballwin, MO 63021-5870

Ph: (314) 775-2811

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Nurse Anesthetist, Certified Registered Nurses in Ballwin, MO

Eva C Schulte, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 13515 Barrett Parkway Dr, Ste 170, Ballwin, MO 63021
Phone: 314-775-2811    Fax: 314-775-2821
Mike Downing, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6 Mandalay Dr, Ballwin, MO 63021
Phone: 636-227-5297    
Angela Fritschle, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 351 Consort Dr, Ballwin, MO 63011
Phone: 636-200-4242    
Heather Stephanie Mcmillen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 339 Consort Dr, Ballwin, MO 63011
Phone: 503-851-7603    
Ms. Lisa M. Mcgivern, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 339 Consort Dr, Ballwin, MO 63011
Phone: 636-386-9224    Fax: 636-386-7679
Yordanka Lambova, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 170 Auld Spanish Ct Apt B, Ballwin, MO 63011
Phone: 314-494-9069    
Mr. Ronald E Norwood, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 351 Consort Dr, Ballwin, MO 63011
Phone: 636-200-4242    Fax: 636-200-4243

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