Kimberly Sue Clark, FNP-BC in Harbor Springs, MI

Kimberly Sue Clark, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Harbor Springs, Michigan. She went to Saginaw Valley Medical College - Nlg and graduated in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Munson Medical Group and her current practice location is 8881 M 119, Harbor Springs, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 347-5400.

Kimberly Sue Clark is licensed to practice in Michigan (license number 4704254566) 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 1386942837.

Contact Information

	Kimberly Sue Clark, FNP-BC
	8881 M 119, Harbor Springs, MI 49740
	(231) 347-5400
	(231) 348-2515

Map and Direction

Provider's Profile

Full Name	Kimberly Sue Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	8881 M 119, Harbor Springs, Michigan
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:

Kimberly Sue Clark attended and graduated from Saginaw Valley Medical College - Nlg in 2010

NPI Data:

NPI Number: 1386942837
Provider Enumeration Date: 03/08/2011
Last Update Date: 12/01/2022

Medicare PECOS Information:

PECOS PAC ID: 1153552120
Enrollment ID: I20140317000852

Medical Identifiers

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

Identifier	Type	State	Issuer
1386942837	NPI	-	NPPES
4704254566	Other	MI	STATE OF MICHIGAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704254566 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Munson Medical Center	Traverse city, MI	Hospital
Mclaren Northern Michigan	Petoskey, MI	Hospital
Munson Healthcare Otsego Memorial Hospital	Gaylord, MI	Hospital
Charlevoix Area Hospital	Charlevoix, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Munson Medical Group	8820277015	139

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. Kimberly Sue Clark allows following entities to bill medicare on her behalf.

Entity Name	Munson Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904

Entity Name	Physician Support Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477509453 PECOS PAC ID: 4688657216 Enrollment ID: O20040612000345

Entity Name	Munson Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061

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. Kimberly Sue 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
Kimberly Sue Clark, FNP-BC 8881 M 119, Harbor Springs, MI 49740-9586 Ph: (231) 347-5400	Kimberly Sue Clark, FNP-BC 8881 M 119, Harbor Springs, MI 49740 Ph: (231) 347-5400

Reviews and Comments

Nurse Practitioner Nurses in Harbor Springs, MI

Ms. Milissa Dawn Godzik Pressey, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1604 Arrowhead, Harbor Springs, MI 49740 Phone: 231-622-1389
Mrs. Rita Nichole Balistreri, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8881 M 119, Harbor Springs, MI 49740 Phone: 231-347-5400 Fax: 231-348-2515
Emilee Kennedy, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8881 M 119, Harbor Springs, MI 49740 Phone: 231-347-5400 Fax: 231-348-2515
Jacob Joseph Wardach, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3434 M 119 Ste C, Harbor Springs, MI 49740 Phone: 231-348-9900
Jean M. Mcdonough, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3434 M 119, Suite C, Harbor Springs, MI 49740 Phone: 231-348-9900 Fax: 989-358-3780
Julie Edwards, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3434 M 119 Ste C, Harbor Springs, MI 49740 Phone: 231-348-9900 Fax: 989-358-3780

Kimberly Sue Clark, FNP-BC - Medicare Nurse Practitioner in Harbor Springs, MI