Mrs Frances Ellison Clark, MS, RDN/LDN in Wilmington, NC - Medicare Dietitian, Registered Provider

Mrs Frances Ellison Clark, MS, RDN/LDN is a medicare enrolled "Dietitian, Registered" provider in Wilmington, North Carolina. Her current practice location is 733 Forest Hills Dr, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 312-3653.

Mrs Frances Ellison Clark is licensed to practice in North Carolina (license number L005893) 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 1366189573.

Contact Information

	Mrs Frances Ellison Clark, MS, RDN/LDN
	733 Forest Hills Dr, Wilmington, NC 28403-2509
	(336) 312-3653
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Frances Ellison Clark
Gender	Female
Speciality	Dietitian, Registered
Location	733 Forest Hills Dr, Wilmington, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366189573
Provider Enumeration Date: 05/18/2022
Last Update Date: 05/18/2022

Medicare PECOS Information:

PECOS PAC ID: 8426594425
Enrollment ID: I20240726000342

Medical Identifiers

Medical identifiers for Mrs Frances Ellison Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366189573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	L005893 (North Carolina)	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. Mrs Frances Ellison Clark allows following entities to bill medicare on her behalf.

Provider Name	Kaizen Nutrition And Wellness, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215431390 PECOS PAC ID: 8729342332 Enrollment ID: O20180508000981

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. Mrs Frances Ellison 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
Mrs Frances Ellison Clark, MS, RDN/LDN 733 Forest Hills Dr, Wilmington, NC 28403-2509 Ph: (336) 312-3653	Mrs Frances Ellison Clark, MS, RDN/LDN 733 Forest Hills Dr, Wilmington, NC 28403-2509 Ph: (336) 312-3653

Reviews and Comments

Dietitian, Registered in Wilmington, NC

Emily Rose Owen, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Center Dr, Wilmington, NC 28401 Phone: 910-239-3562
Ana Elisabeth Zeller, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2103 S Churchill Dr, Wilmington, NC 28403 Phone: 910-622-5083
Julia Greenwood, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Center Dr, Wilmington, NC 28401 Phone: 910-239-3562
Jonelle Addabbo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1505 Medical Center Dr, Wilmington, NC 28401 Phone: 910-239-3562 Fax: 877-889-2993
Mrs. Tara Michelle Eichert, RD, CNSC, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 720 Saint James Dr, Wilmington, NC 28403 Phone: 910-660-8200
Mrs. Jessica Arden Lippert, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1505 Medical Center Dr, Wilmington, NC 28401 Phone: 910-239-3562
Joseph Daniel Catanzaro, RDN, LDN, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-765-5738

Mrs Frances Ellison Clark, MS, RDN/LDN - Medicare Dietitian in Wilmington, NC