Dr Andrew Thomas Clark, FNP-BC, DNP in New York, NY

Dr Andrew Thomas Clark, FNP-BC, DNP is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. His current practice location is 1270 Avenue Of The Americas Ste 757, New York, New York. You can reach out to his office (for appointments etc.) via phone at (646) 248-7651.

Dr Andrew Thomas Clark is licensed to practice in New York (license number 343027) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609365352.

Contact Information

	Dr Andrew Thomas Clark, FNP-BC, DNP
	1270 Avenue Of The Americas Ste 757, New York, NY 10020-1700
	(646) 248-7651
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Andrew Thomas Clark
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1270 Avenue Of The Americas Ste 757, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609365352
Provider Enumeration Date: 05/08/2018
Last Update Date: 02/10/2023

Medicare PECOS Information:

PECOS PAC ID: 1153788088
Enrollment ID: I20230607002037

Medical Identifiers

Medical identifiers for Dr Andrew Thomas Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609365352	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	343027 (New York)	Primary
163WC0200X	Registered Nurse - Critical Care Medicine	690785 (New York)	Secondary

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. Dr Andrew Thomas 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
Dr Andrew Thomas Clark, FNP-BC, DNP 137 Dark Hollow Rd, Port Jefferson, NY 11777-2047 Ph: () -	Dr Andrew Thomas Clark, FNP-BC, DNP 1270 Avenue Of The Americas Ste 757, New York, NY 10020-1700 Ph: (646) 248-7651

Reviews and Comments

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Dr Andrew Thomas Clark, FNP-BC, DNP - Medicare Nurse Practitioner in New York, NY