Katheryn Elisabeth Clark, CNM - Medicare in Grand Rapids, MI

Katheryn Elisabeth Clark, CNM is a medicare enrolled "Advanced Practice Midwife" in Grand Rapids, Michigan. Her current practice location is 330 Barclay Ave Ne Ste 304, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 391-2160.

Katheryn Elisabeth Clark is licensed to practice in Michigan (license number 4704328067) 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 1417489931.

Contact Information

Katheryn Elisabeth Clark, CNM
330 Barclay Ave Ne Ste 304,
Grand Rapids, MI 49503-2527
(616) 391-2160
Not Available

Map and Direction




Provider's Profile

Full NameKatheryn Elisabeth Clark
GenderFemale
Speciality
Experience Years
Location330 Barclay Ave Ne Ste 304, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katheryn Elisabeth Clark attended and graduated from in
  NPI Data:
  • NPI Number: 1417489931
  • Provider Enumeration Date: 04/03/2017
  • Last Update Date: 09/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Katheryn Elisabeth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417489931NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 4704328067 (Michigan)Primary

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. Katheryn Elisabeth 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 AddressPractice Location Address
Katheryn Elisabeth Clark, CNM
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: () -
Katheryn Elisabeth Clark, CNM
330 Barclay Ave Ne Ste 304,
Grand Rapids, MI 49503-2527

Ph: (616) 391-2160

Reviews and Comments


Advanced Practice Midwife Nurses in Grand Rapids, MI

Courtney Tamburello Hilbert, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 100 Michigan St Ne # Mc020, Grand Rapids, MI 49503
Phone: 616-391-2160    
Jan Margaret Buchanan, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 100 Michigan St Ne # Mc020, Grand Rapids, MI 49503
Phone: 616-391-2160    
Jennifer Marie Shanley, CNM
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Medicare: Accepting Medicare Assignments
Practice Location: 426 Michigan St Ne, Grand Rapids, MI 49503
Phone: 616-391-3302    
Carolyn E Leja, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 100 Michigan St Ne # Mc020, Grand Rapids, MI 49503
Phone: 616-391-1751    
Mariel Christine Haverdink, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 80 68th St Se Ste 301, Grand Rapids, MI 49548
Phone: 616-391-3302    
Erin Irwin, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 616-391-2160    
Laurel Patricia Jessup, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 100 Michigan St Ne # Mc027, Grand Rapids, MI 49503
Phone: 616-391-2160    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.