Cynthia Dawn Clark, NP - Medicare Nurse Practitioner in Rockwood, TN

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Cynthia Dawn Clark, NP is a medicare enrolled "Nurse Practitioner" in Rockwood, Tennessee. Her current practice location is 1420 N Gateway Ave, Rockwood, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 354-7799.

Cynthia Dawn Clark is licensed to practice in Tennessee (license number 22984) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750808093.

Contact Information

Cynthia Dawn Clark, NP
1420 N Gateway Ave,
Rockwood, TN 37854
(865) 354-7799
Not Available

Map and Direction




Provider's Profile

Full NameCynthia Dawn Clark
GenderFemale
SpecialityNurse Practitioner
Location1420 N Gateway Ave, Rockwood, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750808093
  • Provider Enumeration Date: 08/28/2017
  • Last Update Date: 06/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9436412020
  • Enrollment ID: I20180412001811

Medical Identifiers

Medical identifiers for Cynthia Dawn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750808093NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 22984 (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. Cynthia Dawn Clark allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659090298
PECOS PAC ID: 2860396330
Enrollment ID: O20031125000793
Entity NamePutnam Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891475752
PECOS PAC ID: 3779946488
Enrollment ID: O20230829001399

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. Cynthia Dawn 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
Cynthia Dawn Clark, NP
1420 N Gateway Ave,
Rockwood, TN 37854-4111

Ph: (865) 354-7799		Cynthia Dawn Clark, NP
1420 N Gateway Ave,
Rockwood, TN 37854

Ph: (865) 354-7799

Reviews and Comments


Nurse Practitioner Nurses in Rockwood, TN

Ms. Beverly Dawn Watkins, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1362 N Gateway Ave, Rockwood, TN 37854
Phone: 865-354-1220    Fax: 865-354-9446
Allison Mckenzie Williams, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1362 N Gateway Ave, Rockwood, TN 37854
Phone: 865-354-1220    
Lois Ann Smith, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1362 N Gateway Ave, Rockwood, TN 37854
Phone: 865-354-1220    Fax: 865-354-0112

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.