Mr Casey Ryan Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Athens, AL

Mr Casey Ryan Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Athens, Alabama. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Huntsville Hospital Anesthesia and his current practice location is 22234 Kennemer Ln, Athens, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 206-2081.

Mr Casey Ryan Clark is licensed to practice in Alabama (license number 1-104686) 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 1174534085.

Contact Information

Mr Casey Ryan Clark, CRNA
22234 Kennemer Ln,
Athens, AL 35613-8162
(256) 206-2081
(256) 771-5972



Provider's Profile

Full NameMr Casey Ryan Clark
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience19 Years
Location22234 Kennemer Ln, Athens, 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:
  • Mr Casey Ryan Clark graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1174534085
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5395753487
  • Enrollment ID: I20060331000148

Medical Identifiers

Medical identifiers for Mr Casey Ryan Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174534085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1-104686 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Huntsville HospitalHuntsville, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Huntsville Hospital Anesthesia7315990751143

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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. Mr Casey Ryan Clark allows following entities to bill medicare on his behalf.
Entity NameHuntsville Hospital Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851321079
PECOS PAC ID: 7315990751
Enrollment ID: O20050225000538

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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. Mr Casey Ryan 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
Mr Casey Ryan Clark, CRNA
22234 Kennemer Ln,
Athens, AL 35613-8162

Ph: (256) 206-2081
Mr Casey Ryan Clark, CRNA
22234 Kennemer Ln,
Athens, AL 35613-8162

Ph: (256) 206-2081

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Nurse Anesthetist, Certified Registered Nurses in Athens, AL

James G Boyd, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Market St, Athens, AL 35611
Phone: 256-233-9424    
Edward Howell Bishop Iii,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 700 W Market St, Athens, AL 35611
Phone: 256-233-9292    
Dr. Jamia Moore, DNP, APRN, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Market St, Athens, AL 35611
Phone: 256-658-4284    
Caroline Fogleman Mikach, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Market St, Athens, AL 35611
Phone: 256-233-9292    
Dr. Arthur Lynn Womble, CRNA, PHD
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Market St, Athens, AL 35611
Phone: 256-233-9424    
Doyle Wayne Graham, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Market St, Athens, AL 35611
Phone: 706-653-1088    

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