Jennifer Sue Clark, NP | |
234 Goodman St, Cincinnati, OH 45219-2364 | |
(513) 584-1000 | |
(513) 584-3778 |
Full Name | Jennifer Sue Clark |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 234 Goodman St, Cincinnati, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992086219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | COA.12190-NP (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Cincinnati Medical Center, Llc | Cincinnati, OH | Hospital |
Christ Hospital | Cincinnati, OH | Hospital |
Mercy Health - Fairfield Hospital | Fairfield, OH | Hospital |
Bethesda North | Cincinnati, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Cincinnati Physicians Company Llc | 2264344480 | 1336 |
Integrated Pain Solutions Incorporated | 7214008978 | 18 |
Entity Name | University Of Cincinnati Physicians Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
Entity Name | Integrated Pain Solutions Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568639037 PECOS PAC ID: 7214008978 Enrollment ID: O20080624000350 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Sue Clark, NP Po Box 636256, Ll-30, Cincinnati, OH 45263-6256 Ph: (513) 585-5502 | Jennifer Sue Clark, NP 234 Goodman St, Cincinnati, OH 45219-2364 Ph: (513) 584-1000 |
Mr. Raymond John Barrows, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 796 Cincinnati-batavia Pike, Cincinnati, OH 45245 Phone: 513-752-9610 Fax: 513-732-8734 | |
Ms. Darcel Derri Bolser, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3200 Vine St, Cincinnati, OH 45220 Phone: 513-475-6524 Fax: 513-475-6525 | |
Mrs. Lauren Faye Smith, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-792-7445 Fax: 513-791-4042 | |
Sonia L Hissett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3131 Queen City Ave, Cincinnati, OH 45238 Phone: 513-557-3333 Fax: 513-557-3332 | |
Elizabeth Ann Moore, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 2003, Cincinnati, OH 45229 Phone: 513-636-4432 Fax: 513-636-3952 | |
Erynne Hamilton, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-862-2514 Fax: 513-862-4189 | |
Kathryn Elizabeth Dinh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4440 Red Bank Expy Ste 210, Cincinnati, OH 45227 Phone: 513-272-0313 Fax: 513-272-0316 |