Mr Benjamin S Clark, FNP - Medicare Nurse Practitioner in Bay Minette, AL

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Mr Benjamin S Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bay Minette, Alabama. His current practice location is 108c Mcmeans Ave, Bay Minette, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 445-3391.

Mr Benjamin S Clark is licensed to practice in Alabama (license number 1-098021) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497708572.

Contact Information

Mr Benjamin S Clark, FNP
108c Mcmeans Ave,
Bay Minette, AL 36507-3130
(251) 445-3391
(251) 445-3722

Map and Direction




Provider's Profile

Full NameMr Benjamin S Clark
GenderMale
SpecialityNurse Practitioner - Family
Location108c Mcmeans Ave, Bay Minette, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497708572
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 08/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4385657568
  • Enrollment ID: I20100212000245

Medical Identifiers

Medical identifiers for Mr Benjamin S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497708572NPI-NPPES
318149MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-098021 (Alabama)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. Mr Benjamin S Clark allows following entities to bill medicare on his behalf.
Entity NameBaldwin Emergency Physicians, P.c..
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154378271
PECOS PAC ID: 4688627946
Enrollment ID: O20050225000807
Entity NameMobile Emergency Physicians, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881934982
PECOS PAC ID: 4981840832
Enrollment ID: O20130418000512
Entity NameUrgent Care 59 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093415671
PECOS PAC ID: 6002274925
Enrollment ID: O20230623002674

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. Mr Benjamin S 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
Mr Benjamin S Clark, FNP
108c Mcmeans Ave,
Bay Minette, AL 36507-3130

Ph: (251) 445-3391		Mr Benjamin S Clark, FNP
108c Mcmeans Ave,
Bay Minette, AL 36507-3130

Ph: (251) 445-3391

Reviews and Comments


Nurse Practitioner Nurses in Bay Minette, AL

Nikeya Betts Richardson, CRNP
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Practice Location: 1815 Hand Ave, Bay Minette, AL 36507
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Hayley Jones Brooks,
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Phone: 251-937-7970    Fax: 251-937-9260
Keri W Barr, PMHNP
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Practice Location: 1815 Hand Ave, Bay Minette, AL 36507
Phone: 251-580-1770    Fax: 251-580-1733
Mrs. Christine Denise Jackson, APRN,FNP-C
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Practice Location: 324 Courthouse Sq, Bay Minette, AL 36507
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Mr. Daniel John Oates Iii, CRNP
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Practice Location: 108 Mcmeans Ave, Bay Minette, AL 36507
Phone: 251-937-7100    
Chelsea Sansom,
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Practice Location: 49989 Dyas Rd, Bay Minette, AL 36507
Phone: 251-776-0910    

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.