Brent Clark, FNP, NP-C in Eagle River, AK - Medicare Nurse Practitioner

Brent Clark, FNP, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Eagle River, Alaska. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southcentral Foundation and his current practice location is 17101 Snowmobile Ln Ste 114, Eagle River, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 562-2211.

Brent Clark is licensed to practice in Alaska (license number 122126) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952830226.

Contact Information

	Brent Clark, FNP, NP-C
	17101 Snowmobile Ln Ste 114, Eagle River, AK 99577-7043
	(907) 562-2211
	Not Available

Map and Direction

Provider's Profile

Full Name	Brent Clark
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	17101 Snowmobile Ln Ste 114, Eagle River, Alaska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brent Clark graduated from nursing school in 2017

NPI Data:

NPI Number: 1952830226
Provider Enumeration Date: 06/08/2017
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 6901137199
Enrollment ID: I20240304000228

Medical Identifiers

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

Identifier	Type	State	Issuer
1952830226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	122126 (Alaska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alaska Native Medical Center	Anchorage, AK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southcentral Foundation	5496663627	116

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. Brent Clark allows following entities to bill medicare on his behalf.

Entity Name	Alaska Native Tribal Health Consortium
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772

Entity Name	Southcentral Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416

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. Brent 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
Brent Clark, FNP, NP-C 2440 E Tudor Rd # 781, Anchorage, AK 99507-1185 Ph: (907) 545-4531	Brent Clark, FNP, NP-C 17101 Snowmobile Ln Ste 114, Eagle River, AK 99577-7043 Ph: (907) 562-2211

Reviews and Comments

Nurse Practitioner Nurses in Eagle River, AK

Stephanie Erin Beck, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20567 Birch Crest Ln, Eagle River, AK 99577 Phone: 765-860-6339
Katherine Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11421 Old Glenn Hwy Ste 100, Eagle River, AK 99577 Phone: 907-622-2500
Mrs. Suzanne P Straub, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11470 Business Blvd, Ste 100, Eagle River, AK 99577 Phone: 907-622-4325 Fax: 907-622-4326
Ms. Leska Nicole James, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17025 Snowmobile Ln, Eagle River, AK 99577 Phone: 907-696-7466
Casta Townsley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17101 Snowmobile Ln Ste 102, Eagle River, AK 99577 Phone: 907-694-7223
Mary Ann Egbert, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12812 Old Glenn Hwy, Eagle River, AK 99577 Phone: 907-622-9675 Fax: 907-622-9676
Catherine Anada Haese, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12812 Old Glenn Hwy Ste C-412812, Eagle River, AK 99577 Phone: 907-726-0378

Brent Clark, FNP, NP-C - Medicare Nurse Practitioner in Eagle River, AK