Mr Calvin Clark, RN, MSN, ACNP-BC in Lubbock, TX

Mr Calvin Clark, RN, MSN, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Lubbock, Texas. His current practice location is 808 Joliet Ave Unit 220, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 761-0566.

Mr Calvin Clark is licensed to practice in Texas (license number 743836) 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 1811298458.

Contact Information

	Mr Calvin Clark, RN, MSN, ACNP-BC
	808 Joliet Ave Unit 220, Lubbock, TX 79415-1158
	(806) 761-0566
	(806) 744-7252

Map and Direction

Provider's Profile

Full Name	Mr Calvin Clark
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	808 Joliet Ave Unit 220, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811298458
Provider Enumeration Date: 11/13/2010
Last Update Date: 01/31/2019

Medicare PECOS Information:

PECOS PAC ID: 7214102383
Enrollment ID: I20150209000948

Medical Identifiers

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

Identifier	Type	State	Issuer
1811298458	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	743836 (Texas)	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 Calvin Clark allows following entities to bill medicare on his behalf.

Entity Name	Umc Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669418547 PECOS PAC ID: 9830003631 Enrollment ID: O20051031000368

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 Calvin 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
Mr Calvin Clark, RN, MSN, ACNP-BC 5219 City Bank Pkwy Ste 35, Lubbock, TX 79407-3545 Ph: (806) 761-0333	Mr Calvin Clark, RN, MSN, ACNP-BC 808 Joliet Ave Unit 220, Lubbock, TX 79415-1158 Ph: (806) 761-0566

Reviews and Comments

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Mr Calvin Clark, RN, MSN, ACNP-BC - Medicare Nurse Practitioner in Lubbock, TX