Jessica Marion Clark, PMHNP in Saint Paul, MN

Jessica Marion Clark, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Paul, Minnesota. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Emily Program Pc and her current practice location is 2265 Como Ave, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (866) 821-0821.

Jessica Marion Clark is licensed to practice in Minnesota (license number 6747) 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 1457914160.

Contact Information

	Jessica Marion Clark, PMHNP
	2265 Como Ave, Saint Paul, MN 55108-1737
	(866) 821-0821
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Marion Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	2265 Como Ave, Saint Paul, Minnesota
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:

Jessica Marion Clark graduated from nursing school in 2019

NPI Data:

NPI Number: 1457914160
Provider Enumeration Date: 04/18/2019
Last Update Date: 01/05/2022

Medicare PECOS Information:

PECOS PAC ID: 7315274164
Enrollment ID: I20190816000773

Medical Identifiers

Medical identifiers for Jessica Marion Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457914160	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	6747 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emily Program Pc	5193623254	40

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. Jessica Marion Clark allows following entities to bill medicare on her behalf.

Entity Name	Emily Program Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528165065 PECOS PAC ID: 5193623254 Enrollment ID: O20031229000014

Entity Name	Summit Clinics Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285290072 PECOS PAC ID: 7618201708 Enrollment ID: O20190624001723

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. Jessica Marion 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
Jessica Marion Clark, PMHNP 2265 Como Ave, Saint Paul, MN 55108-1737 Ph: (651) 645-5323	Jessica Marion Clark, PMHNP 2265 Como Ave, Saint Paul, MN 55108-1737 Ph: (866) 821-0821

Reviews and Comments

Nurse Practitioner Nurses in Saint Paul, MN

Leslie Ewens, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 671 Vandalia St, Saint Paul, MN 55114 Phone: 651-698-2406
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Mrs. Sarah Lynne Potts, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-241-8000
Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589
Jeanne Rancone, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517
Amy F Larson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6300 Fax: 952-967-7616

Jessica Marion Clark, PMHNP - Medicare Nurse Practitioner in Saint Paul, MN