Daphne Ann Clark, APRN in Whitley City, KY - Medicare Nurse Practitioner

Daphne Ann Clark, APRN is a medicare enrolled "Nurse Practitioner - Family" in Whitley City, Kentucky. She went to Lincoln Memorial University Medical Department and graduated in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cumberland Family Medical Center, Inc. and her current practice location is 1900 N Highway 27, Whitley City, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 376-3326.

Daphne Ann Clark is licensed to practice in Kentucky (license number 3006424) 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 1275859761.

Contact Information

	Daphne Ann Clark, APRN
	1900 N Highway 27, Whitley City, KY 42653-4119
	(606) 376-3326
	(888) 960-2041

Map and Direction

Provider's Profile

Full Name	Daphne Ann Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	1900 N Highway 27, Whitley City, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Daphne Ann Clark attended and graduated from Lincoln Memorial University Medical Department in 2007

NPI Data:

NPI Number: 1275859761
Provider Enumeration Date: 04/09/2010
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 5395873053
Enrollment ID: I20100517000829

Medical Identifiers

Medical identifiers for Daphne Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275859761	NPI	-	NPPES
7100111350	Medicaid	KY
12090990	Other		CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3006424 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Cumberland Regional Hospital	Somerset, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cumberland Family Medical Center, Inc.	6305947789	100

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. Daphne Ann Clark allows following entities to bill medicare on her behalf.

Entity Name	Cumberland Family Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433

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. Daphne Ann 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
Daphne Ann Clark, APRN Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655	Daphne Ann Clark, APRN 1900 N Highway 27, Whitley City, KY 42653-4119 Ph: (606) 376-3326

Reviews and Comments

Nurse Practitioner Nurses in Whitley City, KY

Theresa Sue Henderson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 N Highway 27, Whitley City, KY 42653 Phone: 606-376-5363 Fax: 606-376-9919
Emily Ruthanne Ross, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 69 S Main St, Whitley City, KY 42653 Phone: 606-310-3314 Fax: 606-376-7216
Betty A Stanley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 Center Ave, Whitley City, KY 42653 Phone: 606-376-2224 Fax: 606-376-2205
Jennifer J West, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 N Highway 27, Whitley City, KY 42653 Phone: 606-376-5391 Fax: 888-960-2041
Mrs. Melissa Beth Cheng, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 71 Medical Ln, Whitley City, KY 42653 Phone: 606-376-7212 Fax: 606-687-3151
Tammie L Emerson-johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 71 Medical Ln, Whitley City, KY 42653 Phone: 606-376-7212

Daphne Ann Clark, APRN - Medicare Nurse Practitioner in Whitley City, KY