Mandy Clark, APRN in Springdale, AR - Medicare Nurse Practitioner

Mandy Clark, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Springdale, Arkansas. Her current practice location is 614 E Emma Ave Ste 300, Springdale, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 751-7417.

Mandy Clark is licensed to practice in Arkansas (license number A006213) 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 1104426261.

Contact Information

	Mandy Clark, APRN
	614 E Emma Ave Ste 300, Springdale, AR 72764-4469
	(479) 751-7417
	Not Available

Map and Direction

Provider's Profile

Full Name	Mandy Clark
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	614 E Emma Ave Ste 300, Springdale, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104426261
Provider Enumeration Date: 10/28/2020
Last Update Date: 12/06/2023

Medicare PECOS Information:

PECOS PAC ID: 3476967308
Enrollment ID: I20210204000159

Medical Identifiers

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

Identifier	Type	State	Issuer
1104426261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	A006213 (Arkansas)	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. Mandy Clark allows following entities to bill medicare on her behalf.

Entity Name	Christian Family Medicine, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043252620 PECOS PAC ID: 7315903978 Enrollment ID: O20041206000331

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. Mandy 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
Mandy Clark, APRN 614 E Emma Ave Ste 300, Springdale, AR 72764-4469 Ph: (479) 409-6330	Mandy Clark, APRN 614 E Emma Ave Ste 300, Springdale, AR 72764-4469 Ph: (479) 751-7417

Reviews and Comments

Nurse Practitioner Nurses in Springdale, AR

Scarlett Vanessa Grandy, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 614 E Emma Ave Ste 300, Springdale, AR 72764 Phone: 479-751-7417
Scott Grigg, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Greathouse Springs Rd, Springdale, AR 72762 Phone: 479-684-3132 Fax: 479-684-3098
Andrew Long, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711
Kaylee M Armendariz, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2878 Powell St, Springdale, AR 72764 Phone: 479-872-3045 Fax: 479-419-5947
James Robert Feher, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4077 Elm Springs Rd Ste 105, Springdale, AR 72762 Phone: 479-927-2100
Kelsey Breanne Gay, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Jones Rd, Springdale, AR 72762 Phone: 417-850-4313
Stephanie Burks, FNP-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 S Thompson St Ste 4a, Springdale, AR 72764 Phone: 479-445-9900

Mandy Clark, APRN - Medicare Nurse Practitioner in Springdale, AR