Dr Delanna Leigh Clark, APRN is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Lebanon, Kentucky. Her current practice location is
3750 Poplar Corner Rd, Lebanon, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 692-6336.
Dr Delanna Leigh Clark is licensed to practice in Kentucky (license number 3009843) 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 1760855456.
Provider's Profile
| Full Name | Dr Delanna Leigh Clark |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 3750 Poplar Corner Rd, Lebanon, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Delanna Leigh Clark attended and graduated from in
NPI Data:
- NPI Number: 1760855456
- Provider Enumeration Date: 11/04/2015
- Last Update Date: 08/29/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Delanna Leigh Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760855456 | NPI | - | NPPES |
| 7100387970 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 3009843 (Kentucky) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 3009843 (Kentucky) | Secondary |
| 364SC1501X | Clinical Nurse Specialist - Community Health/public Health | 3009843 (Kentucky) | Secondary |
| 364SC2300X | Clinical Nurse Specialist - Chronic Care | 3009843 (Kentucky) | Secondary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 3009843 (Kentucky) | Secondary |
| 364SH0200X | Clinical Nurse Specialist - Home Health | 3009843 (Kentucky) | Secondary |
| 364SH1100X | Clinical Nurse Specialist - Holistic | 3009843 (Kentucky) | Secondary |
| 364SL0600X | Clinical Nurse Specialist - Long-term Care | 3009843 (Kentucky) | Secondary |
| 364SA2100X | Clinical Nurse Specialist - Acute Care | 3009843 (Kentucky) | Primary |
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. Dr Delanna Leigh 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 |
|---|
Dr Delanna Leigh Clark, APRN
120 Enterprise Dr,
Danville, KY 40422-1870
Ph: (859) 236-2425 | Dr Delanna Leigh Clark, APRN
3750 Poplar Corner Rd,
Lebanon, KY 40033-9620
Ph: (270) 692-6336 |
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