Minnie R Clark, NP - Medicare Nurse Practitioner in Medina, NY

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Minnie R Clark, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Medina, New York. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oak Orchard Community Health Center, Inc. and her current practice location is 200 Ohio St, Medina, New York. You can reach out to her office (for appointments etc.) via phone at (585) 798-2000.

Minnie R Clark is licensed to practice in New York (license number 310179) 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 1811581762.

Contact Information

Minnie R Clark, NP
200 Ohio St,
Medina, NY 14103-1063
(585) 798-2000
Not Available

Map and Direction




Provider's Profile

Full NameMinnie R Clark
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location200 Ohio St, Medina, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Minnie R Clark graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1811581762
  • Provider Enumeration Date: 02/22/2021
  • Last Update Date: 02/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5890194450
  • Enrollment ID: I20210602000300

Medical Identifiers

Medical identifiers for Minnie R Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811581762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 310179 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rochester General HospitalRochester, NYHospital
Medina Memorial HospitalMedina, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oak Orchard Community Health Center, Inc.549674692734

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. Minnie R Clark allows following entities to bill medicare on her behalf.
Entity NameOak Orchard Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598707812
PECOS PAC ID: 5496746927
Enrollment ID: O20040521001124

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. Minnie R 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 AddressPractice Location Address
Minnie R Clark, NP
1642 Blood Rd,
Lyndonville, NY 14098-9606

Ph: (585) 590-6431		Minnie R Clark, NP
200 Ohio St,
Medina, NY 14103-1063

Ph: (585) 798-2000

Reviews and Comments


Nurse Practitioner Nurses in Medina, NY

Pamela Ann Eaton, ANP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Ohio St, Suite C, Medina, NY 14103
Phone: 585-798-3345    
Janet Marie Wysocki Freer, AGPCNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Ohio St, Medina, NY 14103
Phone: 585-798-3345    
Nancy Ann Arbeiter, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 314 Pearl St, Medina, NY 14103
Phone: 716-440-8259    
Ms. Jill E Klotzbach, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11075 W Center Street Ext, Medina, NY 14103
Phone: 585-798-1053    Fax: 585-798-5639
Marcel Rozario, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Ohio St, Medina, NY 14103
Phone: 585-798-3345    Fax: 585-798-3416

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.