Ashley T Clark, FNP-C - Medicare Nurse Practitioner in Myrtle Beach, SC

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Ashley T Clark, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Myrtle Beach, South Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mid-south Home Care Services Llc and her current practice location is 2050 Corporate Centre Dr, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 698-3120.

Ashley T Clark is licensed to practice in South Carolina (license number 23387) 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 1457993677.

Contact Information

Ashley T Clark, FNP-C
2050 Corporate Centre Dr,
Myrtle Beach, SC 29577-7428
(843) 698-3120
(888) 900-2640

Map and Direction




Provider's Profile

Full NameAshley T Clark
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location2050 Corporate Centre Dr, Myrtle Beach, South Carolina
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:
  • Ashley T Clark graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1457993677
  • Provider Enumeration Date: 10/09/2019
  • Last Update Date: 02/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628402229
  • Enrollment ID: I20200106003058

Medical Identifiers

Medical identifiers for Ashley T Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457993677NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 23387 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mid-south Home Care Services Llc438596109391

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. Ashley T Clark allows following entities to bill medicare on her behalf.
Entity NamePalmetto Primary Care Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073234928
PECOS PAC ID: 4880508068
Enrollment ID: O20031113000287
Entity NameHcr Manorcare Medical Services Of Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386750420
PECOS PAC ID: 2264338532
Enrollment ID: O20110322000718
Entity NameHeartland Hospice Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457380586
PECOS PAC ID: 4789592536
Enrollment ID: O20200619000235
Entity NameMid-south Home Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033990544
PECOS PAC ID: 4385961093
Enrollment ID: O20231113000686

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. Ashley T 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
Ashley T Clark, FNP-C
2050 Corporate Centre Dr,
Myrtle Beach, SC 29577-7428

Ph: (843) 698-3120		Ashley T Clark, FNP-C
2050 Corporate Centre Dr,
Myrtle Beach, SC 29577-7428

Ph: (843) 698-3120

Reviews and Comments


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Wilma J Spencer, NP
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Mrs. Angela Kathline Naples, APRN FNP-C
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Alexander Petkovsek,
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Mrs. June Jones, FNP
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Phone: 843-477-0177    

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.