David Benjamin Clark, DNP in Stillwater, MN - Medicare Nurse Practitioner

David Benjamin Clark, DNP is a medicare enrolled "Nurse Practitioner" in Stillwater, Minnesota. His current practice location is 1500 Curve Crest Blvd W, Stillwater, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 439-1234.

David Benjamin Clark is licensed to practice in Minnesota (license number 6100) 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 1063995629.

Contact Information

	David Benjamin Clark, DNP
	1500 Curve Crest Blvd W, Stillwater, MN 55082-6040
	(651) 439-1234
	Not Available

Map and Direction

Provider's Profile

Full Name	David Benjamin Clark
Gender	Male
Speciality	Nurse Practitioner
Location	1500 Curve Crest Blvd W, Stillwater, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063995629
Provider Enumeration Date: 09/10/2018
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 7911241054
Enrollment ID: I20181130001347

Medical Identifiers

Medical identifiers for David Benjamin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063995629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	8758 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	1854912 (Minnesota)	Secondary
363L00000X	Nurse Practitioner	6100 (Minnesota)	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. David Benjamin Clark allows following entities to bill medicare on his behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031223000493

Entity Name	Amery Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20040131000207

Entity Name	Westfields Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881640183 PECOS PAC ID: 2264490960 Enrollment ID: O20090122000350

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. David Benjamin 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
David Benjamin Clark, DNP 3024 Furness Ct, Maplewood, MN 55109-1423 Ph: (612) 940-3132	David Benjamin Clark, DNP 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 Ph: (651) 439-1234

Reviews and Comments

Nurse Practitioner Nurses in Stillwater, MN

Dr. Tracy J Cowell, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Main St N Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 Fax: 651-342-1428
Brianna Lee Pankratz, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1715 Tower Dr W Ste 100, Stillwater, MN 55082 Phone: 651-390-5001 Fax: 651-390-5002
Laura J Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325
Leah Rae Bauer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Main St N Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 Fax: 651-342-1428
Katherine A Niemann, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-351-0827
Jessica Acker, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325

David Benjamin Clark, DNP - Medicare Nurse Practitioner in Stillwater, MN