Amy Bellows Clark, PMHCNS-BC - Medicare Certified Clinical Nurse Specialist (cns) in Toledo, OH

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Amy Bellows Clark, PMHCNS-BC is a medicare enrolled "Registered Nurse - Psychiatric/mental Health, Adult" in Toledo, Ohio. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Harbor and her current practice location is 5151 Monroe St, Suite 200, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 475-4449.

Amy Bellows Clark is licensed to practice in Ohio (license number RN.205761-COA1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194074567.

Contact Information

Amy Bellows Clark, PMHCNS-BC
5151 Monroe St, Suite 200,
Toledo, OH 43623-3462
(419) 475-4449
Not Available

Map and Direction




Provider's Profile

Full NameAmy Bellows Clark
GenderFemale
SpecialityCertified Clinical Nurse Specialist (cns)
Experience12 Years
Location5151 Monroe St, Toledo, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amy Bellows Clark graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1194074567
  • Provider Enumeration Date: 08/31/2012
  • Last Update Date: 08/03/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5395996516
  • Enrollment ID: I20121117000071

Medical Identifiers

Medical identifiers for Amy Bellows Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194074567NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult RN.205761-COA1 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Harbor832593118134

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. Amy Bellows Clark allows following entities to bill medicare on her behalf.
Entity NameHarbor
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366526782
PECOS PAC ID: 8325931181
Enrollment ID: O20040205000276
Entity NameWellcare Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558567636
PECOS PAC ID: 1456442771
Enrollment ID: O20070801000094
Entity NameMercy Medical Partners Northern Region Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669756532
PECOS PAC ID: 0244407823
Enrollment ID: O20120123000509

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. Amy Bellows 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
Amy Bellows Clark, PMHCNS-BC
5151 Monroe St, Suite 200,
Toledo, OH 43623-3462

Ph: (419) 475-4449		Amy Bellows Clark, PMHCNS-BC
5151 Monroe St, Suite 200,
Toledo, OH 43623-3462

Ph: (419) 475-4449

Reviews and Comments


Registered Nurse Nurses in Toledo, OH

Michelle Emmitt, R.N.
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Phone: 419-475-4449    Fax: 419-291-6436
Edith Snyder,
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Randy Rice, RN
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Mr. Wendell L Young, R.N.
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Phone: 567-377-6014    
Ms. Monique Jeneen Majewski, CNP
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Medicare: Accepting Medicare Assignments
Practice Location: 4126 N Holland Sylvania Rd, Suite 200, Toledo, OH 43623
Phone: 419-473-3257    Fax: 419-517-0230
Hillary Weber, RN
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Practice Location: 420 E Manhattan Blvd, Toledo, OH 43608
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Keyara Roberts,
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Phone: 567-868-1192    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.