Cody Alexander Clark, FNP-BC in Germantown, TN

Cody Alexander Clark, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Germantown, Tennessee. His current practice location is 1400 S Germantown Rd, Germantown, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 759-3111.

Cody Alexander Clark is licensed to practice in Tennessee (license number 00000000) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134841943.

Contact Information

	Cody Alexander Clark, FNP-BC
	1400 S Germantown Rd, Germantown, TN 38138-2205
	(901) 759-3111
	Not Available

Map and Direction

Provider's Profile

Full Name	Cody Alexander Clark
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1400 S Germantown Rd, Germantown, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134841943
Provider Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9133597503
Enrollment ID: I20221116002745

Medical Identifiers

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

Identifier	Type	State	Issuer
1134841943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	00000000 (Tennessee)	Primary

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. Cody Alexander Clark allows following entities to bill medicare on his behalf.

Entity Name	Campbell Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003835141 PECOS PAC ID: 9638082076 Enrollment ID: O20040615000216

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. Cody Alexander 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
Cody Alexander Clark, FNP-BC 12155 Hidden Trl, Arlington, TN 38002-4577 Ph: (702) 524-8579	Cody Alexander Clark, FNP-BC 1400 S Germantown Rd, Germantown, TN 38138-2205 Ph: (901) 759-3111

Reviews and Comments

Nurse Practitioner Nurses in Germantown, TN

Lisa D Beasley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8040 Wolf River Blvd, Suite 200, Germantown, TN 38138 Phone: 901-414-0017
Brenda S Cole, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7460 Wolf River Boulevard, The Sutherland Cardiology Clinic, P. C., Germantown, TN 38138 Phone: 901-763-0200 Fax: 901-260-1713
Mrs. Mary K Simpson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7715 Wolf River Blvd, Germantown, TN 38138 Phone: 901-328-6031 Fax: 901-328-6035
Cynthia Denise Bedford, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-1290 Fax: 901-516-1220
Ashley Marsh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Wolf River Blvd, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-756-0196
Kelli Chase Gill, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7600 Wolf River Blvd Ste 120, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-682-1362
Hannah Case, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6799 Great Oaks Rd Ste 105, Germantown, TN 38138 Phone: 901-821-8300

Cody Alexander Clark, FNP-BC - Medicare Nurse Practitioner in Germantown, TN