Charlotte A Clark, - Licensed Practical Nurse in Mount Sterling, IL

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Charlotte A Clark, is a Licensed Practical Nurse based in Mount Sterling, Illinois. Charlotte A Clark is licensed to practice in Illinois (license number 043.070144) and her current practice location is 700 Se Cross St, Mount Sterling, Illinois. She can be reached at her office (for appointments etc.) via phone at (217) 773-3325.

NPI number for Charlotte A Clark is 1316298797 and her current mailing address is 700 Se Cross St, Mount Sterling, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316298797.

Contact Information

Charlotte A Clark,
700 Se Cross St,
Mount Sterling, IL 62353-1561
(217) 773-3325
(217) 773-2425

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Provider's Profile

Full NameCharlotte A Clark
GenderFemale
SpecialityLicensed Practical Nurse
Location700 Se Cross St, Mount Sterling, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316298797
  • Provider Enumeration Date: 09/26/2012
  • Last Update Date: 09/26/2012

Medical Identifiers

Medical identifiers for Charlotte A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316298797NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 043.070144 (Illinois)Primary

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. Charlotte A Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charlotte A Clark,
700 Se Cross St,
Mount Sterling, IL 62353-1561

Ph: (217) 773-3325		Charlotte A Clark,
700 Se Cross St,
Mount Sterling, IL 62353-1561

Ph: (217) 773-3325

Reviews and Comments


Licensed Practical Nurse Nurses in Mount Sterling, IL

Judith K. Dunmire,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 700 Se Cross St, Mount Sterling, IL 62353
Phone: 217-773-3325    Fax: 217-773-2425

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.