Jayma Marie Clark, FNP-C in Tullahoma, TN - Medicare Nurse Practitioner

Jayma Marie Clark, FNP-C is a medicare enrolled "Nurse Practitioner" in Tullahoma, Tennessee. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tennessee Vascular And Thoracic Surgical Associates Pc and her current practice location is 315 Nw Atlantic St, Tullahoma, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 841-3948.

Jayma Marie Clark is licensed to practice in Tennessee (license number 24622) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1457831471.

Contact Information

	Jayma Marie Clark, FNP-C
	315 Nw Atlantic St, Tullahoma, TN 37388-3566
	(931) 841-3948
	Not Available

Map and Direction

Provider's Profile

Full Name	Jayma Marie Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	315 Nw Atlantic St, Tullahoma, Tennessee
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jayma Marie Clark attended and graduated from East Tennessee State University Quillen College Of Medicine in 2018

NPI Data:

NPI Number: 1457831471
Provider Enumeration Date: 08/20/2018
Last Update Date: 09/10/2018

Medicare PECOS Information:

PECOS PAC ID: 9234476151
Enrollment ID: I20190130000479

Medical Identifiers

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

Identifier	Type	State	Issuer
1457831471	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	169146 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	24622 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tennessee Vascular And Thoracic Surgical Associates Pc	1850638263	3

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. Jayma Marie Clark allows following entities to bill medicare on her behalf.

Entity Name	Tennessee Vascular And Thoracic Surgical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093263055 PECOS PAC ID: 1850638263 Enrollment ID: O20190123002742

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. Jayma Marie 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
Jayma Marie Clark, FNP-C 315 Nw Atlantic St, Tullahoma, TN 37388-3566 Ph: (865) 806-0017	Jayma Marie Clark, FNP-C 315 Nw Atlantic St, Tullahoma, TN 37388-3566 Ph: (931) 841-3948

Reviews and Comments

Nurse Practitioner Nurses in Tullahoma, TN

Mrs. Shonda Tormohlen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 E Lauderdale St, Tullahoma, TN 37388 Phone: 423-309-9650
Sharon Lynn Gilliam, MSN CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Jack Farrar Ln, Tullahoma, TN 37388 Phone: 931-455-2766 Fax: 931-455-2829
Melissa Ann Perry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Kings Ln, Tullahoma, TN 37388 Phone: 931-962-4040
Robbie M. Webb, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 931-461-4921 Fax: 931-461-4677
Kacy Mikala Kirk, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1803 N Jackson St, Tullahoma, TN 37388 Phone: 931-455-3400
Ladonna Marie Ledford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 S Anderson St, Tullahoma, TN 37388 Phone: 931-563-7464 Fax: 931-563-7401
Jason A. Martin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Jackson St, Tullahoma, TN 37388 Phone: 931-563-5463

Jayma Marie Clark, FNP-C - Medicare Nurse Practitioner in Tullahoma, TN