ANNA E CLARK PA
NPI 1760519474
Physician Assistant - Medical in Mobile, AL

NPI Status: Active since February 28, 2007

Contact Information

100 MEMORIAL HOSPITAL DR
SUITE 3A
MOBILE, AL
ZIP 36608
Phone: (251) 342-2641
Fax: (251) 343-9507

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  • Individual
  • Female
  • Years of Experience 20
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANNA CLARK

This page provides the complete NPI Profile along with additional information for Anna Clark, a primary care provider established in Mobile, Alabama with a medical specialization in Physician Assistant, focusing in medical and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1760519474 assigned on February 2007. The practitioner's primary taxonomy code is 363AM0700X with license number PA514 (AL). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1760519474
Provider Name
ANNA E CLARK PA
Other Name
ANNA EVANS PA
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
100 MEMORIAL HOSPITAL DR SUITE 3A MOBILE, AL 36608
Location Phone
(251) 342-2641
Location Fax
(251) 343-9507
Mailing Address
100 MEMORIAL HOSPITAL DR SUITE 3A MOBILE, AL 36608
Mailing Phone
(251) 342-2641
Mailing Fax
(251) 343-9507
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
02-28-2007
Last Update Date
02-28-2014
Code Navigator

A primary care provider (PCP) like Anna Clark sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA514
License State
AL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Standardized Statewide Silver EPO - EPO
  • Blue Statewide Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
051558677MEDICARE PIN (08)AL 
009941968MEDICAID (05)AL 
Q78115MEDICARE UPIN (02)AL 

Medicare Participation & PECOS Enrollment Status

Anna Clark is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Anna Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5294832010

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20141022001255

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Anna Clark is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MEMORIAL HOSPITAL AT GULFPORT4500 13TH STREET
GULFPORT, MS 39502
(228) 867-4000Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760519474, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 1 + 0 + 1 + 1 + 8 + 4 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1760519474.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
100 MEMORIAL HOSPITAL DR, STE 3A
MOBILE, AL 36608
Internal Medicine
100 MEMORIAL HOSPITAL DR, SUITE 3A
MOBILE, AL 36608
Radiology (Diagnostic Radiology)
100 MEMORIAL HOSPITAL DR, STE 1E
MOBILE, AL 36608
Radiology (Diagnostic Radiology)
100 MEMORIAL HOSPITAL DR, STE 1E
MOBILE, AL 36608
Internal Medicine (Pulmonary Disease)
100 MEMORIAL HOSPITAL DR, SUITE 1A
MOBILE, AL 36608
Radiology (Nuclear Radiology)
100 MEMORIAL HOSPITAL DR, SUITE 1E
MOBILE, AL 36608
Dermatology (MOHS-Micrographic Surgery)
100 MEMORIAL HOSPITAL DR, SUITE 2-B
MOBILE, AL 36608
Physical Therapist
100 MEMORIAL HOSPITAL DR, SUITE 1-C SPRINGHILL MEDICAL CENTER
MOBILE, AL 36608
Physician Assistant (Medical)
100 MEMORIAL HOSPITAL DR, SUITE 3A
MOBILE, AL 36608
Counselor (Professional)
100 MEMORIAL HOSPITAL DR, 1-B
MOBILE, AL 36608
Physician Assistant (Medical)
100 MEMORIAL HOSPITAL DR, SUITE 3A
MOBILE, AL 36608
Radiology (Body Imaging)
100 MEMORIAL HOSPITAL DR, SUITE 1E
MOBILE, AL 36608
Nurse Practitioner (Adult Health)
100 MEMORIAL HOSPITAL DR, ANNEX BUILDING, SUITE 3-B
MOBILE, AL 36608
Internal Medicine
100 MEMORIAL HOSPITAL DR, SUITE 3A
MOBILE, AL 36608
Nurse Practitioner (Family)
100 MEMORIAL HOSPITAL DR, SUITE 3A
MOBILE, AL 36608
Occupational Therapist (Physical Rehabilitation)
100 MEMORIAL HOSPITAL DR, SUITE 1-C
MOBILE, AL 36608
Radiology (Body Imaging)
100 MEMORIAL HOSPITAL DR, STE 1E
MOBILE, AL 36608
Pathology (Anatomic Pathology & Clinical Pathology)
100 MEMORIAL HOSPITAL DR, STE 1D
MOBILE, AL 36608
Pathology (Anatomic Pathology & Clinical Pathology)
100 MEMORIAL HOSPITAL DR, STE 1D
MOBILE, AL 36608
Nurse Practitioner (Family)
100 MEMORIAL HOSPITAL DR
MOBILE, AL 36608

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760519474, enumerated as an "individual" on February 28, 2007.

The provider is located at 100 MEMORIAL HOSPITAL DR SUITE 3A MOBILE, AL 36608 and the phone number is (251) 342-2641.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Anna Clark is affiliated with: MEMORIAL HOSPITAL AT GULFPORT.