Melissa Sue Clark, ARNP in Concord, CA - Medicare Nurse Practitioner

Melissa Sue Clark, ARNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Concord, California. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice West Coast Kidney and her current practice location is 2222 East St Ste 305, Concord, California. You can reach out to her office (for appointments etc.) via phone at (925) 686-1230.

Melissa Sue Clark is licensed to practice in California (license number 95007947) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639681000.

Contact Information

	Melissa Sue Clark, ARNP
	2222 East St Ste 305, Concord, CA 94520-2066
	(925) 686-1230
	Not Available

Map and Direction

Provider's Profile

Full Name	Melissa Sue Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	2222 East St Ste 305, Concord, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Melissa Sue Clark graduated from nursing school in 2017

NPI Data:

NPI Number: 1639681000
Provider Enumeration Date: 10/25/2017
Last Update Date: 12/19/2018

Medicare PECOS Information:

PECOS PAC ID: 0042555757
Enrollment ID: I20181228001150

Medical Identifiers

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

Identifier	Type	State	Issuer
1639681000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	95007947 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sutter Delta Medical Center	Antioch, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
West Coast Kidney	1759700149	49

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. Melissa Sue Clark allows following entities to bill medicare on her behalf.

Entity Name	Diablo Nephrology Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194734731 PECOS PAC ID: 2365420965 Enrollment ID: O20040709001347

Entity Name	American Current Care Of California A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420

Entity Name	West Coast Kidney
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952914681 PECOS PAC ID: 1759700149 Enrollment ID: O20201005001363

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. Melissa Sue 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
Melissa Sue Clark, ARNP 2222 East St Ste 305, Concord, CA 94520-2066 Ph: (925) 686-1230	Melissa Sue Clark, ARNP 2222 East St Ste 305, Concord, CA 94520-2066 Ph: (925) 686-1230

Reviews and Comments

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Ferris Powell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2485 High School Ave Ste 311, Concord, CA 94520 Phone: 925-687-7272
Mrs. Nishita Trewn Sharma, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2095 Diamond Blvd Ste B150, Concord, CA 94520 Phone: 800-972-5547

Melissa Sue Clark, ARNP - Medicare Nurse Practitioner in Concord, CA