Coleen Clark, ANP - Medicare Nurse Practitioner in Buffalo, NY

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Coleen Clark, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Buffalo, New York. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nysarc Inc., Cogent Medical Care Pc and her current practice location is 656 Elmwood Ave, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at (716) 883-0515.

Coleen Clark is licensed to practice in New York (license number 304179) 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 1588981575.

Contact Information

Coleen Clark, ANP
656 Elmwood Ave,
Buffalo, NY 14222-1836
(716) 883-0515
(716) 883-8764

Map and Direction




Provider's Profile

Full NameColeen Clark
GenderFemale
SpecialityNurse Practitioner
Experience22 Years
Location656 Elmwood Ave, Buffalo, New York
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:
  • Coleen Clark graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1588981575
  • Provider Enumeration Date: 04/29/2010
  • Last Update Date: 01/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6901081751
  • Enrollment ID: I20110421000383

Medical Identifiers

Medical identifiers for Coleen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588981575NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 304179 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rome Memorial Hospital, IncRome, NYHospital
Faxton-st Luke's HealthcareUtica, NYHospital
Bassett HealthcareCooperstown, NYHospital
Mercy Hospital Of BuffaloBuffalo, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nysarc Inc.660886919314
Cogent Medical Care Pc7315836780164

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. Coleen Clark allows following entities to bill medicare on her behalf.
Entity NameKaleida Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366473183
PECOS PAC ID: 7810805280
Enrollment ID: O20031105000212
Entity NameCogent Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912941238
PECOS PAC ID: 7315836780
Enrollment ID: O20040312001215
Entity NameNysarc Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427113547
PECOS PAC ID: 6608869193
Enrollment ID: O20040408000675
Entity NameAcademic Medicine Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255394763
PECOS PAC ID: 0941105241
Enrollment ID: O20040429000839
Entity NameUb Family Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942294467
PECOS PAC ID: 1658361381
Enrollment ID: O20040514000861
Entity NameWny Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154421246
PECOS PAC ID: 9335191733
Enrollment ID: O20050214000821
Entity NameGeneral Physician Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093959322
PECOS PAC ID: 9537213079
Enrollment ID: O20090818000154
Entity NameTanvir Shagar Np In Family Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871160515
PECOS PAC ID: 1658775606
Enrollment ID: O20210812001771
Entity NameRd Medical Professional Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811643166
PECOS PAC ID: 8628463296
Enrollment ID: O20220325000700

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. Coleen 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
Coleen Clark, ANP
179 Montbleu Dr,
Getzville, NY 14068-1330

Ph: (716) 697-2213		Coleen Clark, ANP
656 Elmwood Ave,
Buffalo, NY 14222-1836

Ph: (716) 883-0515

Reviews and Comments


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Stephanie Erin Myszka, F.N.P.- BC
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Jessica Lynn Hafezi,
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Yevgeniya S Lipina, FNP
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Phone: 716-995-4450    Fax: 844-206-7424

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.