Ann Marie Clack, WHNP in Monroe, LA - Medicare Nurse Practitioner

Ann Marie Clack, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Monroe, Louisiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lsu Health Sciences Center Shreveport Faculty Group Practice and her current practice location is 4864 Jackson St, Monroe, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 330-7000.

Ann Marie Clack is licensed to practice in Louisiana (license number 214452) 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 1023689486.

Contact Information

	Ann Marie Clack, WHNP
	4864 Jackson St, Monroe, LA 71202-6400
	(318) 330-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ann Marie Clack
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	4864 Jackson St, Monroe, Louisiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ann Marie Clack graduated from nursing school in 2020

NPI Data:

NPI Number: 1023689486
Provider Enumeration Date: 07/07/2021
Last Update Date: 10/06/2021

Medicare PECOS Information:

PECOS PAC ID: 3870991359
Enrollment ID: I20211014000158

Medical Identifiers

Medical identifiers for Ann Marie Clack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023689486	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0102X	Registered Nurse - Maternal Newborn	RN122544 (Louisiana)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	214452 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ochsner Lsu Health Monroe	Monroe, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lsu Health Sciences Center Shreveport Faculty Group Practice	4082902721	534

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. Ann Marie Clack allows following entities to bill medicare on her behalf.

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

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. Ann Marie Clack 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
Ann Marie Clack, WHNP 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 626-0287	Ann Marie Clack, WHNP 4864 Jackson St, Monroe, LA 71202-6400 Ph: (318) 330-7000

Reviews and Comments

Nurse Practitioner Nurses in Monroe, LA

Brenda Thomason, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3510 Magnolia Cv, Monroe, LA 71203 Phone: 318-323-1100 Fax: 318-323-1161
Nayana Shrestha, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St Ste 411, Monroe, LA 71201 Phone: 318-966-6622 Fax: 318-966-6621
Mr. Nicholas Colton Fisher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Grammont St., Monroe, LA 71201 Phone: 318-325-2634 Fax: 318-812-1205
Miss Kandice Nicole Hunter, APRN, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000
Anna Sartor Titus, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2408 Duval Dr, Monroe, LA 71201 Phone: 318-516-2611
Mrs. Ellen Stewart Murray, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 Kilpatrick Blvd, Monroe, LA 71201 Phone: 318-855-6282 Fax: 318-855-6424
Miss Matilda Elliott Stephens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Medical Park Dr Ste B, Monroe, LA 71203 Phone: 318-387-6803 Fax: 318-387-6874

Ann Marie Clack, WHNP - Medicare Nurse Practitioner in Monroe, LA