Kathleen A Clark, FNP in Bluffton, IN - Medicare Nurse Practitioner

Kathleen A Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bluffton, Indiana. Her current practice location is 1100 S Main St, Bluffton, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 919-3900.

Kathleen A Clark is licensed to practice in Indiana (license number 74001171A) 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 1245259167.

Contact Information

	Kathleen A Clark, FNP
	1100 S Main St, Bluffton, IN 46714-3615
	(260) 919-3900
	(260) 919-3913

Map and Direction

Provider's Profile

Full Name	Kathleen A Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1100 S Main St, Bluffton, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245259167
Provider Enumeration Date: 07/19/2006
Last Update Date: 11/04/2015

Medicare PECOS Information:

PECOS PAC ID: 2163587445
Enrollment ID: I20090220000205

Medical Identifiers

Medical identifiers for Kathleen A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245259167	NPI	-	NPPES
200334940	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	74001171A (Indiana)	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. Kathleen A Clark allows following entities to bill medicare on her behalf.

Entity Name	Drynachan Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891044657 PECOS PAC ID: 2264718824 Enrollment ID: O20170606001826

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. Kathleen A 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
Kathleen A Clark, FNP 1100 S Main St, Bluffton, IN 46714-3615 Ph: (260) 919-3900	Kathleen A Clark, FNP 1100 S Main St, Bluffton, IN 46714-3615 Ph: (260) 919-3900

Reviews and Comments

Nurse Practitioner Nurses in Bluffton, IN

Mrs. Melinda Foley, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 S Main St Ste 300, Bluffton, IN 46714 Phone: 260-888-2102 Fax: 260-919-3563
Mrs. Rheann Noelle Mays, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2363 N Oak Dr, Bluffton, IN 46714 Phone: 574-551-6742
Leann J Mayer, DNP, AGNP-C, RN, CNE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1145 W 300 N, Bluffton, IN 46714 Phone: 260-227-0906
Frederica Ann Nodine, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 N Main St, Suite E, Bluffton, IN 46714 Phone: 260-353-3375 Fax: 260-353-3377
Veronica Rupel, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 E Cherry St, Bluffton, IN 46714 Phone: 260-824-3210
Amy M Kiel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 E Cherry St, Bluffton, IN 46714 Phone: 260-402-5002

Kathleen A Clark, FNP - Medicare Nurse Practitioner in Bluffton, IN