Gina Clark, APRN in Louisville, KY - Medicare Nurse Practitioner

Gina Clark, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Louisville, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Us Psychiatry Pllc and her current practice location is 4200 Gardiner View Ave, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 456-0494.

Gina Clark is licensed to practice in Kentucky (license number 3008878) 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 1174912406.

Contact Information

	Gina Clark, APRN
	4200 Gardiner View Ave, Louisville, KY 40213-1877
	(502) 456-0494
	(502) 456-0496

Map and Direction

Provider's Profile

Full Name	Gina Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	4200 Gardiner View Ave, Louisville, 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:

Gina Clark attended and graduated from University Of Louisville School Of Medicine in 2014

NPI Data:

NPI Number: 1174912406
Provider Enumeration Date: 01/09/2015
Last Update Date: 08/16/2019

Medicare PECOS Information:

PECOS PAC ID: 0446576326
Enrollment ID: I20150312000921

Medical Identifiers

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

Identifier	Type	State	Issuer
1174912406	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3008878 (Kentucky)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	3008878 (Kentucky)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	3008878 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Us Psychiatry Pllc	4385937598	10

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. Gina Clark allows following entities to bill medicare on her behalf.

Entity Name	Extended Care Health Professionals Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760563266 PECOS PAC ID: 8022024371 Enrollment ID: O20060224000071

Entity Name	Us Psychiatry Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902255359 PECOS PAC ID: 4385937598 Enrollment ID: O20160726001946

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. Gina 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
Gina Clark, APRN 3120 Runnymede Rd, Louisville, KY 40222-6144 Ph: (502) 657-1076	Gina Clark, APRN 4200 Gardiner View Ave, Louisville, KY 40213-1877 Ph: (502) 456-0494

Reviews and Comments

Nurse Practitioner Nurses in Louisville, KY

Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Gina Clark, APRN - Medicare Nurse Practitioner in Louisville, KY