Amber Clark, in Pooler, GA - Medicare Nurse Practitioner

Amber Clark, is a medicare enrolled "Nurse Practitioner - Family" in Pooler, Georgia. Her current practice location is 1254 Homer City Way, Pooler, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 659-8923.

Amber Clark is licensed to practice in Georgia (license number RN240397) 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 1992358485.

Contact Information

	Amber Clark,
	1254 Homer City Way, Pooler, GA 31322-3320
	(912) 659-8923
	Not Available

Map and Direction

Provider's Profile

Full Name	Amber Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1254 Homer City Way, Pooler, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992358485
Provider Enumeration Date: 07/23/2019
Last Update Date: 07/23/2019

Medicare PECOS Information:

PECOS PAC ID: 3476983388
Enrollment ID: I20200416002430

Medical Identifiers

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

Identifier	Type	State	Issuer
1992358485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN240397 (Georgia)	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. Amber Clark allows following entities to bill medicare on her behalf.

Entity Name	Privia Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983

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. Amber 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
Amber Clark, 1254 Homer City Way, Pooler, GA 31322-3320 Ph: (912) 659-8923	Amber Clark, 1254 Homer City Way, Pooler, GA 31322-3320 Ph: (912) 659-8923

Reviews and Comments

Nurse Practitioner Nurses in Pooler, GA

Anny Most, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Us Highway 80 E, Pooler, GA 31322 Phone: 912-998-0040
Jessica Riner Smith, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Canal St Ste 503, Pooler, GA 31322 Phone: 912-450-6300
Lolita Hanks, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Canal St Ste 600, Pooler, GA 31322 Phone: 912-724-0955
Melissa Susan Vaughan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 Phone: 912-748-3847
Ms. Stephanie Renee Denmark, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Josephs Candler Dr, Pooler, GA 31322 Phone: 912-748-1999
Mrs. Angela C Wooley, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Towne Center Blvd Ste 301, Pooler, GA 31322 Phone: 912-644-4900
Tameko Lushana Ivey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 203 Sonoma Drive, None, Pooler, GA 31322 Phone: 701-630-5753

Amber Clark, - Medicare Nurse Practitioner in Pooler, GA