Kortney Wilson Clark, FNP in Albemarle, NC - Medicare Nurse Practitioner

Kortney Wilson Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Albemarle, North Carolina. Her current practice location is 960 N 1st St, Albemarle, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 983-4216.

Kortney Wilson Clark is licensed to practice in North Carolina (license number 5019439) 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 1053172205.

Contact Information

	Kortney Wilson Clark, FNP
	960 N 1st St, Albemarle, NC 28001-3350
	(704) 983-4216
	Not Available

Map and Direction

Provider's Profile

Full Name	Kortney Wilson Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	960 N 1st St, Albemarle, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053172205
Provider Enumeration Date: 01/16/2024
Last Update Date: 02/13/2024

Medicare PECOS Information:

PECOS PAC ID: 8729425707
Enrollment ID: I20240326003024

Medical Identifiers

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

Identifier	Type	State	Issuer
1053172205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5019439 (North Carolina)	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. Kortney Wilson Clark allows following entities to bill medicare on her behalf.

Entity Name	Hospice Of Stanly County, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174124614 PECOS PAC ID: 0749328425 Enrollment ID: O20201210002186

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. Kortney Wilson 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
Kortney Wilson Clark, FNP 960 N 1st St, Albemarle, NC 28001-3350 Ph: (704) 983-4216	Kortney Wilson Clark, FNP 960 N 1st St, Albemarle, NC 28001-3350 Ph: (704) 983-4216

Reviews and Comments

Nurse Practitioner Nurses in Albemarle, NC

Mrs. Phyllis T. Kupsick, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 313 Yadkin St, Albemarle, NC 28001 Phone: 704-984-4388 Fax: 704-984-4132
Susan Lynn Russell Thomas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Yadkin St, Ste 303, Albemarle, NC 28001 Phone: 980-323-5400
Katherine Dry Sells, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 923 N 2nd St, Ste 204, Albemarle, NC 28001 Phone: 980-323-5600
Ruth L Silsby, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Yadkin St, Ste 301, Albemarle, NC 28001 Phone: 980-323-5360
Justin Canter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 923 N 2nd St, Ste 204, Albemarle, NC 28001 Phone: 980-323-4475
Patricia Nicole Bryan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1426 E Main St, Albemarle, NC 28001 Phone: 704-982-0950

Kortney Wilson Clark, FNP - Medicare Nurse Practitioner in Albemarle, NC