Elizabeth J Clark, APRN in Irvine, KY - Medicare Nurse Practitioner

Elizabeth J Clark, APRN is a medicare enrolled "Nurse Practitioner - Family" in Irvine, Kentucky. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Estill Medical Clinic, Psc and her current practice location is 275 Court St, Irvine, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 723-2167.

Elizabeth J Clark is licensed to practice in Kentucky (license number 3006121) 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 1215168349.

Contact Information

	Elizabeth J Clark, APRN
	275 Court St, Irvine, KY 40336-1089
	(606) 723-2167
	(606) 723-2112

Map and Direction

Provider's Profile

Full Name	Elizabeth J Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	275 Court St, Irvine, 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:

Elizabeth J Clark graduated from nursing school in 2009

NPI Data:

NPI Number: 1215168349
Provider Enumeration Date: 08/06/2009
Last Update Date: 02/18/2022

Medicare PECOS Information:

PECOS PAC ID: 1153477906
Enrollment ID: I20090918000339

Medical Identifiers

Medical identifiers for Elizabeth J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215168349	NPI	-	NPPES
7100085240	Medicaid	KY
1056565	Other	KY	RN LICENSE NUMBER
3006121	Other	KY	ARNP LICENSE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3006121 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Estill Medical Clinic, Psc	5597845255	6

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. Elizabeth J Clark allows following entities to bill medicare on her behalf.

Entity Name	Estill Medical Clinic, Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154500296 PECOS PAC ID: 5597845255 Enrollment ID: O20080108000027

Entity Name	Primary Care Of The Bluegrass, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942463096 PECOS PAC ID: 4183791700 Enrollment ID: O20080924000350

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. Elizabeth J 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
Elizabeth J Clark, APRN 275 Court St, Irvine, KY 40336-1089 Ph: (606) 723-2167	Elizabeth J Clark, APRN 275 Court St, Irvine, KY 40336-1089 Ph: (606) 723-2167

Reviews and Comments

Nurse Practitioner Nurses in Irvine, KY

Sherra Morgan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Stacy Lane Rd, Irvine, KY 40336 Phone: 606-723-0665 Fax: 606-723-0680
Amy M Pendleton, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 365 River Drive, Irvine, KY 40336 Phone: 606-723-5181 Fax: 606-723-5254
Mrs. Stephanie Somerville, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Quail Run Rd, Irvine, KY 40336 Phone: 541-761-8437
Julia D Browning, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 Court St, Irvine, KY 40336 Phone: 606-723-2167 Fax: 606-723-2112
Mrs. Pamela Jones, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Richmond Rd, Irvine, KY 40336 Phone: 606-723-7706 Fax: 606-726-9410
Joyce Lynn Puckett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Richmond Rd, Irvine, KY 40336 Phone: 606-723-7771

Elizabeth J Clark, APRN - Medicare Nurse Practitioner in Irvine, KY