Erin Noelle Clark, in Grants Pass, OR - Medicare Nurse Practitioner

Erin Noelle Clark, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Grants Pass, Oregon. Her current practice location is 495 Sw Ramsey Ave, Grants Pass, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 476-6644.

Erin Noelle Clark is licensed to practice in Oregon (license number 202101839NP-PP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770177941.

Contact Information

	Erin Noelle Clark,
	495 Sw Ramsey Ave, Grants Pass, OR 97527-5681
	(541) 476-6644
	Not Available

Map and Direction

Provider's Profile

Full Name	Erin Noelle Clark
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	495 Sw Ramsey Ave, Grants Pass, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770177941
Provider Enumeration Date: 02/26/2021
Last Update Date: 02/26/2021

Medicare PECOS Information:

PECOS PAC ID: 7214336973
Enrollment ID: I20210618000019

Medical Identifiers

Medical identifiers for Erin Noelle Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770177941	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	202101839NP-PP (Oregon)	Primary

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. Erin Noelle Clark allows following entities to bill medicare on her behalf.

Entity Name	Grants Pass Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760418032 PECOS PAC ID: 9234123977 Enrollment ID: O20040414000467

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. Erin Noelle 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
Erin Noelle Clark, 275 Westwood Dr, Grants Pass, OR 97527-7231 Ph: (541) 660-0169	Erin Noelle Clark, 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 Ph: (541) 476-6644

Reviews and Comments

Nurse Practitioner Nurses in Grants Pass, OR

Ms. Catherine Chiaradonna, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1867 Williams Hwy Ste 226, Grants Pass, OR 97527 Phone: 877-672-8620
Cathryn Diann Draper, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 Sw Ramsey Ave Ste 204, Grants Pass, OR 97527 Phone: 541-930-7223 Fax: 541-930-7221
Deborah Lynn Rossel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Nw 6th St, Grants Pass, OR 97526 Phone: 541-916-5500 Fax: 541-916-5010
Krista Fuqua, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1585 Nw Washington Blvd, Grants Pass, OR 97526 Phone: 541-474-5511
Laura Lynn Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR 97526 Phone: 541-916-8530 Fax: 541-916-8533
Mona Kaahu, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-471-3455 Fax: 541-471-9242
Ms. Charlane A Frazier, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Nw Franklin Blvd, Grants Pass, OR 97526 Phone: 541-474-2784 Fax: 541-474-0638

Erin Noelle Clark, - Medicare Nurse Practitioner in Grants Pass, OR