Deirdre M Clark, NP in Willimantic, CT - Medicare Nurse Practitioner

Deirdre M Clark, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Willimantic, Connecticut. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and her current practice location is 5 Founders St Ste 102, Willimantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 456-2898.

Deirdre M Clark is licensed to practice in Connecticut (license number 7460) 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 1811251713.

Contact Information

	Deirdre M Clark, NP
	5 Founders St Ste 102, Willimantic, CT 06226-2050
	(860) 456-2898
	Not Available

Map and Direction

Provider's Profile

Full Name	Deirdre M Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	5 Founders St Ste 102, Willimantic, Connecticut
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:

Deirdre M Clark graduated from nursing school in 2012

NPI Data:

NPI Number: 1811251713
Provider Enumeration Date: 06/26/2012
Last Update Date: 04/25/2023

Medicare PECOS Information:

PECOS PAC ID: 9436382009
Enrollment ID: I20180309001632

Medical Identifiers

Medical identifiers for Deirdre M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811251713	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	NPP37710 (Rhode Island)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	NPP37710 (Rhode Island)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	7460 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Windham Community Memorial Hospital	Willimantic, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hartford Healthcare Medical Group Specialists Pllc	3173866241	1180

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. Deirdre M Clark allows following entities to bill medicare on her behalf.

Entity Name	Windham Community Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231

Entity Name	The William W Backus Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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. Deirdre M 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
Deirdre M Clark, NP 326 Washington St, Norwich, CT 06360-2740 Ph: (860) 889-8331	Deirdre M Clark, NP 5 Founders St Ste 102, Willimantic, CT 06226-2050 Ph: (860) 456-2898

Reviews and Comments

Nurse Practitioner Nurses in Willimantic, CT

Bethany Joy Kennedy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-9116
Patricia S Masopust, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, United Services, Willimantic, CT 06226 Phone: 860-456-2261
Kari A. Davis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 Fax: 860-450-0213
Ariye M Krassner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471
Dr. Rachell Laureena Farnham, DNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471
Christine Nilson Mccarthy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 185 Birch Street, Willimantic, CT 06226 Phone: 860-465-5263 Fax: 860-465-4560
Melissa Bohan-hallenbeck, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6965 Fax: 860-456-6969

Deirdre M Clark, NP - Medicare Nurse Practitioner in Willimantic, CT