Charles Nicholson Clark, FNP in Kerrville, TX

Charles Nicholson Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kerrville, Texas. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Peterson Medical Associates and his current practice location is 575 Hill Country Dr Ste 301, Kerrville, Texas. You can reach out to his office (for appointments etc.) via phone at (830) 258-7762.

Charles Nicholson Clark is licensed to practice in Texas (license number AP139709) 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 1013485713.

Contact Information

	Charles Nicholson Clark, FNP
	575 Hill Country Dr Ste 301, Kerrville, TX 78028-6024
	(830) 258-7762
	Not Available

Map and Direction

Provider's Profile

Full Name	Charles Nicholson Clark
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	575 Hill Country Dr Ste 301, Kerrville, Texas
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:

Charles Nicholson Clark graduated from nursing school in 2018

NPI Data:

NPI Number: 1013485713
Provider Enumeration Date: 11/12/2018
Last Update Date: 08/22/2022

Medicare PECOS Information:

PECOS PAC ID: 4880939958
Enrollment ID: I20181218000833

Medical Identifiers

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

Identifier	Type	State	Issuer
1013485713	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP139709 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Peterson Regional Medical Center	Kerrville, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peterson Medical Associates	1355467887	101

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. Charles Nicholson Clark allows following entities to bill medicare on his behalf.

Entity Name	Peterson Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770800575 PECOS PAC ID: 1355467887 Enrollment ID: O20100922000142

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. Charles Nicholson 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
Charles Nicholson Clark, FNP 575 Hill Country Dr Ste 101, Kerrville, TX 78028-6024 Ph: (830) 258-7762	Charles Nicholson Clark, FNP 575 Hill Country Dr Ste 301, Kerrville, TX 78028-6024 Ph: (830) 258-7762

Reviews and Comments

Nurse Practitioner Nurses in Kerrville, TX

Ms. Elizabeth Ewng Weeks, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3600 Memorial Blvd, Kerrville, TX 78028 Phone: 830-896-2020 Fax: 830-792-2684
Marcie Joyce Sweat, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 823 Junction Hwy, Kerrville, TX 78028 Phone: 830-258-7900 Fax: 830-258-7820
Kelli Mccall, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 575 Hill Country Dr Ste 101, Kerrville, TX 78028 Phone: 830-258-6251 Fax: 830-515-5695
Sophia Lisa Korkis, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 575 Hill Country Dr Ste 202, Kerrville, TX 78028 Phone: 830-258-6237 Fax: 830-315-1366
Heather Armstrong, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 551 Hill Country Dr, Kerrville, TX 78028 Phone: 713-253-3654
Maria Santos Garcia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1331 Bandera Hwy, Kerrville, TX 78028 Phone: 830-258-7762

Charles Nicholson Clark, FNP - Medicare Nurse Practitioner in Kerrville, TX