Kecia Clark, FNP in Baton Rouge, LA - Medicare Nurse Practitioner

Kecia Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Baton Rouge, Louisiana. Her current practice location is 1818 S Sherwood Forest Blvd, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 368-8485.

Kecia Clark is licensed to practice in Louisiana (license number 215920) 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 1568061950.

Contact Information

	Kecia Clark, FNP
	1818 S Sherwood Forest Blvd, Baton Rouge, LA 70816-8321
	(337) 368-8485
	Not Available

Map and Direction

Provider's Profile

Full Name	Kecia Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1818 S Sherwood Forest Blvd, Baton Rouge, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568061950
Provider Enumeration Date: 10/19/2020
Last Update Date: 08/24/2022

Medicare PECOS Information:

PECOS PAC ID: 4688085905
Enrollment ID: I20201117003418

Medical Identifiers

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

Identifier	Type	State	Issuer
1568061950	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	215920 (Louisiana)	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. Kecia Clark allows following entities to bill medicare on her behalf.

Entity Name	Calcasieu Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768

Entity Name	Specialty Infusion Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750933230 PECOS PAC ID: 9931532116 Enrollment ID: O20191202000603

Entity Name	Sherwood Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679180020 PECOS PAC ID: 2365853322 Enrollment ID: O20201123001585

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. Kecia 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
Kecia Clark, FNP 6544 Oak Garden Dr, Baton Rouge, LA 70817-5806 Ph: (337) 368-8485	Kecia Clark, FNP 1818 S Sherwood Forest Blvd, Baton Rouge, LA 70816-8321 Ph: (337) 368-8485

Reviews and Comments

Nurse Practitioner Nurses in Baton Rouge, LA

Yolanda Rochelle Cockerham, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-650-2000 Fax: 225-650-2099
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Sarah Kilpatrick Wylie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5231 Brittany Dr, Baton Rouge, LA 70808 Phone: 225-769-0933 Fax: 225-769-6255
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Pamela Stanley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013
Mandy Gayle Keown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10310 The Grove Blvd, Baton Rouge, LA 70836 Phone: 225-761-5200

Kecia Clark, FNP - Medicare Nurse Practitioner in Baton Rouge, LA