Breanna Clark, CRNP in Middletown, PA - Medicare Nurse Practitioner

Breanna Clark, CRNP is a medicare enrolled "Nurse Practitioner" in Middletown, Pennsylvania. 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 The Milton S Hershey Medical Center Physicians Group and her current practice location is 3100 Schoolhouse Rd, Middletown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 948-5180.

Breanna Clark is licensed to practice in Pennsylvania (license number SP023123) 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 1922680321.

Contact Information

	Breanna Clark, CRNP
	3100 Schoolhouse Rd, Middletown, PA 17057-3548
	(717) 948-5180
	Not Available

Map and Direction

Provider's Profile

Full Name	Breanna Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	3100 Schoolhouse Rd, Middletown, Pennsylvania
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:

Breanna Clark graduated from nursing school in 2020

NPI Data:

NPI Number: 1922680321
Provider Enumeration Date: 04/25/2021
Last Update Date: 12/06/2023

Medicare PECOS Information:

PECOS PAC ID: 5799189676
Enrollment ID: I20210816000029

Medical Identifiers

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

Identifier	Type	State	Issuer
1922680321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP023123 (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	SP023123 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Milton S Hershey Medical Center	Hershey, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Milton S Hershey Medical Center Physicians Group	3870405483	1398

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. Breanna Clark allows following entities to bill medicare on her behalf.

Entity Name	The Milton S Hershey Medical Center Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741

Entity Name	Spirit Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093013328 PECOS PAC ID: 8022922202 Enrollment ID: O20040402000053

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. Breanna 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
Breanna Clark, CRNP 90 Hope Dr., P.o. Box 855, Hershey, PA 17033-0855 Ph: (717) 531-7180	Breanna Clark, CRNP 3100 Schoolhouse Rd, Middletown, PA 17057-3548 Ph: (717) 948-5180

Reviews and Comments

Nurse Practitioner Nurses in Middletown, PA

Jane E Snyder, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 586 Fulling Mill Rd, Middletown, PA 17057 Phone: 717-616-3318 Fax: 717-890-1742
Nicolette Sara Marie Hartman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Schoolhouse Rd, Middletown, PA 17057 Phone: 717-948-5180 Fax: 717-948-0488
Kate Elizabeth Garvin, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 W Harrisburg Pike, Middletown, PA 17057 Phone: 717-944-0491 Fax: 717-944-1436
Amy T Byler, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3100 Schoolhouse Rd, Middletown, PA 17057 Phone: 717-531-5180 Fax: 717-531-0488
Hongli Shi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3100 Schoolhouse Rd, Middletown, PA 17057 Phone: 717-948-5180
Michael John Fedor, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Schoolhouse Rd, Middletown, PA 17057 Phone: 717-948-5180 Fax: 717-948-0488
Tracee L Matincheck, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 W Harrisburg Pike, Middletown, PA 17057 Phone: 717-944-0491 Fax: 717-944-1436

Breanna Clark, CRNP - Medicare Nurse Practitioner in Middletown, PA