Jessica N Clark, ACNP-AG in Cape Girardeau, MO

Jessica N Clark, ACNP-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Cape Girardeau, Missouri. Her current practice location is 1701 Lacey St, Cape Girardeau, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 331-6431.

Jessica N Clark is licensed to practice in Missouri (license number 2016011887) 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 1063138949.

Contact Information

	Jessica N Clark, ACNP-AG
	1701 Lacey St, Cape Girardeau, MO 63701-5230
	(573) 331-6431
	(573) 986-5984

Map and Direction

Provider's Profile

Full Name	Jessica N Clark
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1701 Lacey St, Cape Girardeau, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063138949
Provider Enumeration Date: 10/13/2022
Last Update Date: 10/13/2022

Medicare PECOS Information:

PECOS PAC ID: 0840668539
Enrollment ID: I20221130003308

Medical Identifiers

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

Identifier	Type	State	Issuer
1063138949	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	2016011887 (Missouri)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	2016011887 (Missouri)	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. Jessica N Clark allows following entities to bill medicare on her behalf.

Entity Name	Southeast Missouri Hospital Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775

Entity Name	Cape Girardeau Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700485281 PECOS PAC ID: 8022423649 Enrollment ID: O20210507002378

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 N 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 N Clark, ACNP-AG 1701 Lacey St, Cape Girardeau, MO 63701-5230 Ph: (573) 334-6431	Jessica N Clark, ACNP-AG 1701 Lacey St, Cape Girardeau, MO 63701-5230 Ph: (573) 331-6431

Reviews and Comments

Nurse Practitioner Nurses in Cape Girardeau, MO

Kelli A Crowe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 Fax: 573-339-1876
Sarah Ross, A.P.R.N., B.C. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-9498 Fax: 573-332-0370
Lisa M Zoellner-gullette, APRN BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-331-5544 Fax: 573-331-5545
Michele L Tanz, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1723 Broadway St, Suite 220, Cape Girardeau, MO 63701 Phone: 573-331-7910 Fax: 573-331-7919
Mrs. Christina Cossou, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 Phone: 573-335-7546 Fax: 573-335-7550
Ms. Amy Lee Featherston, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 Fax: 573-339-1876
Mrs. Tara Ann Elizabeth Ribbing, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-3000

Jessica N Clark, ACNP-AG - Medicare Nurse Practitioner in Cape Girardeau, MO