Elizabeth Leona Clark, NP - Medicare Nurse Practitioner in Elyria, OH

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Elizabeth Leona Clark, NP is a medicare enrolled "Nurse Practitioner - Family" in Elyria, Ohio. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fisher-titus Medical Care Llc and her current practice location is 630 E River St, Elyria, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 329-7500.

Elizabeth Leona Clark is licensed to practice in Ohio (license number 341203) 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 1902301120.

Contact Information

Elizabeth Leona Clark, NP
630 E River St,
Elyria, OH 44035-5902
(440) 329-7500
Not Available

Map and Direction




Provider's Profile

Full NameElizabeth Leona Clark
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location630 E River St, Elyria, Ohio
Accepts Medicare AssignmentsYes. 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 Leona Clark graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1902301120
  • Provider Enumeration Date: 03/28/2018
  • Last Update Date: 03/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6305101387
  • Enrollment ID: I20180522000747

Medical Identifiers

Medical identifiers for Elizabeth Leona Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902301120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN.CNP.022580 (Ohio)Secondary
363LF0000XNurse Practitioner - Family 341203 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fisher-titus HospitalNorwalk, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fisher-titus Medical Care Llc650794056664

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 Leona Clark allows following entities to bill medicare on her behalf.
Entity NameUniversity Emergency Specialists Of Bedford Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760434781
PECOS PAC ID: 2466357801
Enrollment ID: O20031126000765
Entity NamePhysicians Link Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235172925
PECOS PAC ID: 8527969492
Enrollment ID: O20040405000838
Entity NameEmh Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841299039
PECOS PAC ID: 7517931389
Enrollment ID: O20040826000069
Entity NameUes Richmond Heights Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568414613
PECOS PAC ID: 8224057047
Enrollment ID: O20051122000004
Entity NameUes Geauga, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841242997
PECOS PAC ID: 6406876002
Enrollment ID: O20051128000779
Entity NameSamaritan Regional Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396251989
PECOS PAC ID: 0648284067
Enrollment ID: O20060206000325
Entity NameFisher-titus Medical Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467636399
PECOS PAC ID: 6507940566
Enrollment ID: O20080228000695
Entity NameUes Ahuja Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467883934
PECOS PAC ID: 5496985467
Enrollment ID: O20140313001425
Entity NameMagis Emergency Medicine, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801287511
PECOS PAC ID: 2769700392
Enrollment ID: O20150410002555

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 Leona 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 AddressPractice Location Address
Elizabeth Leona Clark, NP
22451 Gore Orphanage Rd,
New London, OH 44851-9602

Ph: (440) 309-7546		Elizabeth Leona Clark, NP
630 E River St,
Elyria, OH 44035-5902

Ph: (440) 329-7500

Reviews and Comments


Nurse Practitioner Nurses in Elyria, OH

Bretzyl M Liscoe,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-323-8515    
Nicole Fatemeh Scavuzzo, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035
Phone: 440-406-8153    Fax: 440-406-8312
Mary Lauretta Gilchrist,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Ms. Amy M. King, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Amy M Kovalsky, RN, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Mrs. Brenda J Life, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035
Phone: 440-326-4120    Fax: 440-322-3454
Teneisha Taquae Craighead, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-452-0740    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.