Lauren Clark, in Philadelphia, PA - Medicare Nurse Practitioner

Lauren Clark, is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 5800 Walnut St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 347-2073.

Lauren Clark is licensed to practice in Pennsylvania (license number SP028442) 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 1366223760.

Contact Information

	Lauren Clark,
	5800 Walnut St, Philadelphia, PA 19139-3836
	(267) 347-2073
	Not Available

Map and Direction

Provider's Profile

Full Name	Lauren Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5800 Walnut St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366223760
Provider Enumeration Date: 10/11/2023
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 1658729207
Enrollment ID: I20231121001507

Medical Identifiers

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

Identifier	Type	State	Issuer
1366223760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP028442 (Pennsylvania)	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. Lauren Clark allows following entities to bill medicare on her behalf.

Entity Name	Sayre Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831209113 PECOS PAC ID: 7416955000 Enrollment ID: O20220317002858

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. Lauren 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
Lauren Clark, Po Box 974, Bryn Mawr, PA 19010-0974 Ph: () -	Lauren Clark, 5800 Walnut St, Philadelphia, PA 19139-3836 Ph: (267) 347-2073

Reviews and Comments

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Lauren Clark, - Medicare Nurse Practitioner in Philadelphia, PA