Kristen Nancy Feifert Clark, MSN CNM is a medicare enrolled "Advanced Practice Midwife" in Millbury, Massachusetts. Her current practice location is
22 West St Ste 25, Millbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 917-6720.
Kristen Nancy Feifert Clark is licensed to practice in Massachusetts (license number RN242199) 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 1063841534.
Provider's Profile
Full Name | Kristen Nancy Feifert Clark |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 22 West St Ste 25, Millbury, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063841534
- Provider Enumeration Date: 11/05/2013
- Last Update Date: 10/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 3375844707
- Enrollment ID: I20151209000625
Medical Identifiers
Medical identifiers for Kristen Nancy Feifert Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063841534 | NPI | - | NPPES |
110099291A | Other | MA | MEDICAID PTAN |
S100140020 | Other | MA | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | RN242199 (Massachusetts) | 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. Kristen Nancy Feifert 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 |
Kristen Nancy Feifert Clark, MSN CNM 22 West St Ste 25, Millbury, MA 01527-2622 Ph: (508) 917-6720 | Kristen Nancy Feifert Clark, MSN CNM 22 West St Ste 25, Millbury, MA 01527-2622 Ph: (508) 917-6720 |
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