Catherine Lynn Clark, NP-C - Medicare Nurse Practitioner in Atlanta, GA

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Catherine Lynn Clark, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Atlanta, Georgia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Bortolazzo Group, Llc and her current practice location is 1039 Grant St Se Ste D12, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 736-5248.

Catherine Lynn Clark is licensed to practice in Georgia (license number F07182091) 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 1396226114.

Contact Information

Catherine Lynn Clark, NP-C
1039 Grant St Se Ste D12,
Atlanta, GA 30315-2014
(678) 736-5248
(407) 635-8971

Map and Direction




Provider's Profile

Full NameCatherine Lynn Clark
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1039 Grant St Se Ste D12, Atlanta, Georgia
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:
  • Catherine Lynn Clark graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1396226114
  • Provider Enumeration Date: 08/29/2018
  • Last Update Date: 10/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3072859917
  • Enrollment ID: I20190114001313

Medical Identifiers

Medical identifiers for Catherine Lynn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396226114NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F07182091 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Bortolazzo Group, Llc347655432072

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. Catherine Lynn Clark allows following entities to bill medicare on her behalf.
Entity NameSouth Fulton Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821043787
PECOS PAC ID: 5294708715
Enrollment ID: O20040813000595
Entity NameThe Bortolazzo Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801965082
PECOS PAC ID: 3476554320
Enrollment ID: O20070122000015
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameGeorgia Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952746638
PECOS PAC ID: 4082853262
Enrollment ID: O20130619000316
Entity NameMedici Urgent Care And Wellness Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225630395
PECOS PAC ID: 6204249691
Enrollment ID: O20210401001270
Entity NameMdmedici
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538875463
PECOS PAC ID: 5991179186
Enrollment ID: O20230330001948

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. Catherine Lynn 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
Catherine Lynn Clark, NP-C
1039 Grant St Se Ste D12,
Atlanta, GA 30315-2014

Ph: (678) 736-5248		Catherine Lynn Clark, NP-C
1039 Grant St Se Ste D12,
Atlanta, GA 30315-2014

Ph: (678) 736-5248

Reviews and Comments


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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.