Beverly W Clark, FNP-C in Macon, MS - Medicare Nurse Practitioner

Beverly W Clark, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Macon, Mississippi. Her current practice location is 78 Hospital Rd, Macon, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 361-8338.

Beverly W Clark is licensed to practice in Mississippi (license number 904987) 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 1184387672.

Contact Information

	Beverly W Clark, FNP-C
	78 Hospital Rd, Macon, MS 39341-2490
	(662) 361-8338
	Not Available

Map and Direction

Provider's Profile

Full Name	Beverly W Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	78 Hospital Rd, Macon, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184387672
Provider Enumeration Date: 10/21/2021
Last Update Date: 01/20/2022

Medicare PECOS Information:

PECOS PAC ID: 1355717455
Enrollment ID: I20221014000264

Medical Identifiers

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

Identifier	Type	State	Issuer
1184387672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904987 (Mississippi)	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. Beverly W Clark allows following entities to bill medicare on her behalf.

Entity Name	Noxubee General Critical Access Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477793305 PECOS PAC ID: 9335130798 Enrollment ID: O20040524000515

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. Beverly W 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
Beverly W Clark, FNP-C 4735 Highway 490 Rd, Macon, MS 39341-9366 Ph: (662) 361-8338	Beverly W Clark, FNP-C 78 Hospital Rd, Macon, MS 39341-2490 Ph: (662) 361-8338

Reviews and Comments

Nurse Practitioner Nurses in Macon, MS

Janice Noland Robertson, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 N Jefferson St, Macon, MS 39341 Phone: 662-726-4231
Marlee Sellers, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3878 Jefferson St, Macon, MS 39341 Phone: 662-726-5831
Mrs. Jennifer Yuson Dozier, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 606 North Jefferson Street, Macon, MS 39341 Phone: 662-726-4264 Fax: 662-726-4204
Dorthy Renee Bester, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 78 Hospital Rd, Macon, MS 39341 Phone: 662-726-4264 Fax: 662-726-4204
Mrs. Amanda Nicholas Jones, CFNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 78 Hospital Rd, Macon, MS 39341 Phone: 662-738-4424
Tymetric Antoin Robinson, MD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 338 Green St, Macon, MS 39341 Phone: 662-694-5726

Beverly W Clark, FNP-C - Medicare Nurse Practitioner in Macon, MS