Lisa Clark, in New Albany, MS - Medicare Nurse Practitioner

Lisa Clark, is a medicare enrolled "Nurse Practitioner - Family" in New Albany, Mississippi. Her current practice location is 400 Doctors Dr, New Albany, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 534-5036.

Lisa Clark is licensed to practice in Mississippi (license number R874900) 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 1114317054.

Contact Information

	Lisa Clark,
	400 Doctors Dr, New Albany, MS 38652-3109
	(662) 534-5036
	(662) 534-9696

Map and Direction

Provider's Profile

Full Name	Lisa Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	400 Doctors Dr, New Albany, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114317054
Provider Enumeration Date: 01/30/2015
Last Update Date: 01/30/2015

Medicare PECOS Information:

PECOS PAC ID: 2860710852
Enrollment ID: I20150423002312

Medical Identifiers

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

Identifier	Type	State	Issuer
1114317054	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R874900 (Mississippi)	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. Lisa Clark allows following entities to bill medicare on her behalf.

Entity Name	Oxford Urology Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548327273 PECOS PAC ID: 1951336148 Enrollment ID: O20050927000599

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. Lisa 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
Lisa Clark, 400 Doctors Dr, New Albany, MS 38652-3109 Ph: (662) 534-5036	Lisa Clark, 400 Doctors Dr, New Albany, MS 38652-3109 Ph: (662) 534-5036

Reviews and Comments

Nurse Practitioner Nurses in New Albany, MS

Mrs. Sandra C Durrett, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Oxford Road, New Albany, MS 38652 Phone: 662-534-8166 Fax: 662-534-8132
Rhagen Nelson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 State Highway 30 W, New Albany, MS 38652 Phone: 662-539-7014
Velma Sue Morrisson, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 474 W Bankhead St, New Albany, MS 38652 Phone: 662-534-7777 Fax: 662-534-3050
Angela Orsborn, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Hwy 30 W, New Albany, MS 38652 Phone: 662-538-2150 Fax: 662-538-2571
Kara Rushing, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Doctors Dr, New Albany, MS 38652 Phone: 662-534-5036
Katherine Rose Blassingame, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Fairfield Dr, New Albany, MS 38652 Phone: 662-534-0029
Mrs. Hailey Ott Davis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 Oxford Rd, New Albany, MS 38652 Phone: 662-534-9042 Fax: 662-534-9707

Lisa Clark, - Medicare Nurse Practitioner in New Albany, MS