Haley Michelle Clark, FNP in Bridgeton, MO - Medicare Nurse Practitioner

Haley Michelle Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bridgeton, Missouri. Her current practice location is 12277 De Paul Dr Ste 402, Bridgeton, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 291-2140.

Haley Michelle Clark is licensed to practice in Missouri (license number 2023035149) 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 1295512366.

Contact Information

	Haley Michelle Clark, FNP
	12277 De Paul Dr Ste 402, Bridgeton, MO 63044-2536
	(314) 291-2140
	Not Available

Map and Direction

Provider's Profile

Full Name	Haley Michelle Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12277 De Paul Dr Ste 402, Bridgeton, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295512366
Provider Enumeration Date: 09/12/2023
Last Update Date: 09/12/2023

Medicare PECOS Information:

PECOS PAC ID: 5799139887
Enrollment ID: I20230922002104

Medical Identifiers

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

Identifier	Type	State	Issuer
1295512366	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2023035149 (Missouri)	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. Haley Michelle Clark allows following entities to bill medicare on her behalf.

Entity Name	Mcpherson Medical & Diagnostic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003407883 PECOS PAC ID: 5698773539 Enrollment ID: O20061201000167

Entity Name	Probst Behm Clancy Obgyn Serv Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821280660 PECOS PAC ID: 6800963034 Enrollment ID: O20080930000201

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. Haley Michelle 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
Haley Michelle Clark, FNP 7757 Missy Ct, Saint Louis, MO 63123-1930 Ph: (314) 677-4994	Haley Michelle Clark, FNP 12277 De Paul Dr Ste 402, Bridgeton, MO 63044-2536 Ph: (314) 291-2140

Reviews and Comments

Nurse Practitioner Nurses in Bridgeton, MO

Debra E Solom, A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-209-5142
Suneeta V. Parpelli, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-317-0600 Fax: 314-317-0606
Mrs. Megan L Wren, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 420n, Bridgeton, MO 63044 Phone: 314-298-3893 Fax: 314-851-4408
Saima Baig, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 490, Bridgeton, MO 63044 Phone: 314-344-7770
Ms. Amy Elizabeth Mcalister, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12255 Depaul Drive, Suite 370, Bridgeton, MO 63044 Phone: 314-209-5222 Fax: 314-092-5224
Susan H Fliesher, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000
Mrs. Kathleen Konys, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 800-305-6616

Haley Michelle Clark, FNP - Medicare Nurse Practitioner in Bridgeton, MO