Courtney Beth Clark, NP - Medicare Nurse Practitioner in Ann Arbor, MI

Courtney Beth Clark, NP is a medicare enrolled "Nurse Practitioner" in Ann Arbor, Michigan. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Regents Of The University Of Michigan and her current practice location is 1500 E Medical Center Dr, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (888) 287-1082.

Courtney Beth Clark is licensed to practice in Michigan (license number 4704220981) 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 1063716413.

Contact Information

Courtney Beth Clark, NP
1500 E Medical Center Dr, 3rd Floor Cardiovascular Center Recp C,
Ann Arbor, MI 48109-5864
(888) 287-1082
Not Available

Map and Direction




Provider's Profile

Full NameCourtney Beth Clark
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location1500 E Medical Center Dr, Ann Arbor, Michigan
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:
  • Courtney Beth Clark graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1063716413
  • Provider Enumeration Date: 12/28/2010
  • Last Update Date: 12/28/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4688857725
  • Enrollment ID: I20110325000832

Medical Identifiers

Medical identifiers for Courtney Beth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063716413NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704220981 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regents Of The University Of Michigan37794968562916

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. Courtney Beth Clark allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447275102
PECOS PAC ID: 3779496856
Enrollment ID: O20031121000371

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. Courtney Beth 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
Courtney Beth Clark, NP
3621 S State St, 700 Kms Place,
Ann Arbor, MI 48108

Ph: (734) 936-2047
Courtney Beth Clark, NP
1500 E Medical Center Dr, 3rd Floor Cardiovascular Center Recp C,
Ann Arbor, MI 48109-5864

Ph: (888) 287-1082

Reviews and Comments


Nurse Practitioner Nurses in Ann Arbor, MI

Mrs. Paige Christine Ledlow, MS, RN, ACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3214 Alpine Dr, Ann Arbor, MI 48108
Phone: 614-562-0824    
Nina K Bibicoff, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4260 Plymouth Rd, Ann Arbor, MI 48109
Phone: 734-764-6831    Fax: 734-647-8535
Wilma Anne Mackenzie, AGACNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Donald Lawson Jr., NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1500 East Medical Center Dr, 3rd Floor C.s. Mott Children's Hospital Recp C, Ann Arbor, MI 48109
Phone: 734-936-5780    
Ms. Alexis Mae Punches, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1500 East Medical Center Dr, 12th Floor C.s. Mott Childrens Hospital Rm 525, Ann Arbor, MI 48109
Phone: 734-764-5302    
Shannon Marie Canterbury, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Amber Nicole Mason, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1500 East Medical Center Drive, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109
Phone: 888-287-1082    

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.