Jennifer Leigh Clark, AGNP in Sisseton, SD - Medicare Nurse Practitioner

Jennifer Leigh Clark, AGNP is a medicare enrolled "Nurse Practitioner" in Sisseton, South Dakota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Woodrow Wilson Keeble Memorial Health Care Center and her current practice location is 100 Lake Traverse Dr, Sisseton, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 698-7606.

Jennifer Leigh Clark is licensed to practice in Michigan (license number 4704290820) 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 1679001192.

Contact Information

	Jennifer Leigh Clark, AGNP
	100 Lake Traverse Dr, Sisseton, SD 57262-7046
	(605) 698-7606
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Leigh Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	100 Lake Traverse Dr, Sisseton, South Dakota
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:

Jennifer Leigh Clark graduated from nursing school in 2017

NPI Data:

NPI Number: 1679001192
Provider Enumeration Date: 05/28/2017
Last Update Date: 02/22/2024

Medicare PECOS Information:

PECOS PAC ID: 3678843844
Enrollment ID: I20240306000195

Medical Identifiers

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

Identifier	Type	State	Issuer
1679001192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704290820 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704290820 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Coteau Des Prairies Health Care System	Sisseton, SD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Woodrow Wilson Keeble Memorial Health Care Center	1850295940	16

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. Jennifer Leigh Clark allows following entities to bill medicare on her behalf.

Entity Name	Woodrow Wilson Keeble Memorial Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366471666 PECOS PAC ID: 1850295940 Enrollment ID: O20031120000810

Entity Name	Rosebud Indian Health Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337

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. Jennifer Leigh 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
Jennifer Leigh Clark, AGNP 100 Lake Traverse Dr, Sisseton, SD 57262-7046 Ph: () -	Jennifer Leigh Clark, AGNP 100 Lake Traverse Dr, Sisseton, SD 57262-7046 Ph: (605) 698-7606

Reviews and Comments

Nurse Practitioner Nurses in Sisseton, SD

Faith Ann Phillips, DNP, RNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606
Mr. Robert Michael Keller Jr., ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 E Chestnut St, Sisseton, SD 57262 Phone: 605-698-7606
Jay S Guikema, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 056-987-6066
Ms. Katherine Joan Mackenzie, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606
Ms. Carmen Maria Redlin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606
Tina E Evenson, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606
Tenecia Mason, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606

Jennifer Leigh Clark, AGNP - Medicare Nurse Practitioner in Sisseton, SD