Dr Delanna Leigh Clark, APRN is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Lebanon, Kentucky. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Ephraim Mcdowell Health Resource Inc and 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 |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 11 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 graduated from nursing school in 2013
NPI Data:
- NPI Number: 1760855456
- Provider Enumeration Date: 11/04/2015
- Last Update Date: 08/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143523068
- Enrollment ID: I20160126001873
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ephraim Mcdowell Health Resource Inc | 7517876956 | 122 |
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. Dr Delanna Leigh Clark allows following entities to bill medicare on her behalf.
| Entity Name | Ephraim Mcdowell Health Resource Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487708533
PECOS PAC ID: 7517876956
Enrollment ID: O20031218000776 |
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| Entity Name | Heritage Hospice, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861495954
PECOS PAC ID: 2961562020
Enrollment ID: O20140714002188 |
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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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