Hunter Kelsey Clark, - Medicare Registered Nurse in Johnson City, TN

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Hunter Kelsey Clark, is a medicare enrolled "Registered Nurse" in Johnson City, Tennessee. Her current practice location is 809 Lamont St, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 306-1716.

Hunter Kelsey Clark is licensed to practice in Tennessee (license number 218160) 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 1043896079.

Contact Information

Hunter Kelsey Clark,
809 Lamont St,
Johnson City, TN 37604-5453
(423) 306-1716
Not Available

Map and Direction




Provider's Profile

Full NameHunter Kelsey Clark
GenderFemale
SpecialityRegistered Nurse
Location809 Lamont St, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043896079
  • Provider Enumeration Date: 03/21/2021
  • Last Update Date: 03/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9931544566
  • Enrollment ID: I20240305001827

Medical Identifiers

Medical identifiers for Hunter Kelsey Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043896079NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 218160 (Tennessee)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. Hunter Kelsey Clark allows following entities to bill medicare on her behalf.
Entity NameDuke Health Integrated Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205553369
PECOS PAC ID: 8325412737
Enrollment ID: O20230327002247

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. Hunter Kelsey 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
Hunter Kelsey Clark,
1208 Fredericksburg Dr,
Johnson City, TN 37604-6376

Ph: (423) 306-1716		Hunter Kelsey Clark,
809 Lamont St,
Johnson City, TN 37604-5453

Ph: (423) 306-1716

Reviews and Comments


Registered Nurse Nurses in Johnson City, TN

Danita Jean Corby, AN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 200 W Fairview Ave, Johnson City, TN 37604
Phone: 877-928-9062    Fax: 423-467-3644
Amber Lane, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 300 Med Tech Pkwy, Johnson City, TN 37604
Phone: 423-302-3100    
Wesley Tyrus Stewart, CRNA
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604
Phone: 423-283-0776    Fax: 423-283-0549
Meghan A Murphy,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 219 Princeton Rd, Johnson City, TN 37601
Phone: 423-975-2200    
Lisa Ann Mccoy,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 415 State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-975-2200    
Cynthia Dawn Barker, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 415 State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-975-2200    
Ms. Dallas A Maas, MS, SLP-CCC
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 106 Flourville Rd, Johnson City, TN 37615
Phone: 423-283-0135    

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.