Hallie J Clark, NP is a medicare enrolled "Nurse Practitioner" in Oakland City, Indiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Deaconess Clinic Inc and her current practice location is
1204 Williams St, Oakland City, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 749-6187.
Hallie J Clark is licensed to practice in Indiana (license number 71010836A) 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 1326638537.
Provider's Profile
| Full Name | Hallie J Clark |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 1204 Williams St, Oakland City, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Hallie J Clark graduated from nursing school in 2020
NPI Data:
- NPI Number: 1326638537
- Provider Enumeration Date: 01/21/2021
- Last Update Date: 02/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921413907
- Enrollment ID: I20210225001333
Medical Identifiers
Medical identifiers for Hallie J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326638537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 28198172A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71010836A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Deaconess Clinic Inc | 3375610116 | 343 |
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. Hallie J Clark allows following entities to bill medicare on her behalf.
| Entity Name | Deaconess Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619123585
PECOS PAC ID: 3375610116
Enrollment ID: O20080922000145 |
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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. Hallie 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 |
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Hallie J Clark, NP
Po Box 1510,
Evansville, IN 47706-1510
Ph: (812) 450-6815 | Hallie J Clark, NP
1204 Williams St,
Oakland City, IN 47660-1001
Ph: (812) 749-6187 |
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