Jill Marie Clark, MS, RD, LD in Hannibal, MO - Medicare Dietitian, Registered Provider

Jill Marie Clark, MS, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Hannibal, Missouri. Her current practice location is 6500 Hospital Dr, Hannibal, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 406-5952.

Jill Marie Clark is licensed to practice in Missouri (license number 2021046266) 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 1134834450.

Contact Information

	Jill Marie Clark, MS, RD, LD
	6500 Hospital Dr, Hannibal, MO 63401-6890
	(573) 406-5952
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jill Marie Clark
Gender	Female
Speciality	Dietitian, Registered
Location	6500 Hospital Dr, Hannibal, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134834450
Provider Enumeration Date: 01/20/2023
Last Update Date: 03/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6608241658
Enrollment ID: I20230405001901

Medical Identifiers

Medical identifiers for Jill Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134834450	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2021046266 (Missouri)	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. Jill Marie Clark allows following entities to bill medicare on her behalf.

Provider Name	Hannibal Regional Healthcare System Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134311392 PECOS PAC ID: 1254236300 Enrollment ID: O20071004000422

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. Jill Marie 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
Jill Marie Clark, MS, RD, LD Po Box 1239, Hannibal, MO 63401-1239 Ph: (573) 248-5400	Jill Marie Clark, MS, RD, LD 6500 Hospital Dr, Hannibal, MO 63401-6890 Ph: (573) 406-5952

Reviews and Comments

Dietitian, Registered in Hannibal, MO

Mrs. Marie T Niemeyer, R.D.,L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6000 Hospital Drive, Hannibal, MO 63401 Phone: 573-406-1298
Mrs. Anna Laura Thomas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6000 Hospital Dr, Hannibal, MO 63401 Phone: 573-248-5370
Mrs. Nancy Marie Hays, R.D., L.D. Dietitian Medicare: Medicare Enrolled Practice Location: 6000 Hospital Drive, Hannibal, MO 63401 Phone: 573-248-5370
Trey Allen Vuichard, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 6000 Hospital Dr, Hannibal, MO 63401 Phone: 573-406-5907
Kelley Blasa, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11197 W Lakeshore Dr, Hannibal, MO 63401 Phone: 573-221-1354
Olivia P Rees, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-231-5952 Fax: 573-629-3382

Jill Marie Clark, MS, RD, LD - Medicare Dietitian in Hannibal, MO