Mr Daniel Clark, NURSE PRACITIONER in Flint, MI

Mr Daniel Clark, NURSE PRACITIONER is a medicare enrolled "Nurse Practitioner - Family" in Flint, Michigan. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mclaren Flint, Mclaren Macomb and his current practice location is 401 S Ballenger Hwy, Flint, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 342-5700.

Mr Daniel Clark is licensed to practice in Michigan (license number 4704269853) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043613649.

Contact Information

	Mr Daniel Clark, NURSE PRACITIONER
	401 S Ballenger Hwy, Flint, MI 48532-3638
	(810) 342-5700
	(810) 342-5504

Map and Direction

Provider's Profile

Full Name	Mr Daniel Clark
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	401 S Ballenger Hwy, Flint, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Daniel Clark graduated from nursing school in 2014

NPI Data:

NPI Number: 1043613649
Provider Enumeration Date: 09/27/2014
Last Update Date: 09/13/2024

Medicare PECOS Information:

PECOS PAC ID: 4789965617
Enrollment ID: I20170106001580

Medical Identifiers

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

Identifier	Type	State	Issuer
1043613649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704269853 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mclaren Flint	Flint, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mclaren Flint	8628975497	142
Mclaren Macomb	8921912791	115

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 Daniel Clark allows following entities to bill medicare on his behalf.

Entity Name	Mclaren Macomb
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396014601 PECOS PAC ID: 8921912791 Enrollment ID: O20040120001000

Entity Name	Mclaren Flint
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275807372 PECOS PAC ID: 8628975497 Enrollment ID: O20120620000454

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 Daniel 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 Daniel Clark, NURSE PRACITIONER 9230 Autumnglo Dr, Clarkston, MI 48348-1608 Ph: (248) 330-5808	Mr Daniel Clark, NURSE PRACITIONER 401 S Ballenger Hwy, Flint, MI 48532-3638 Ph: (810) 342-5700

Reviews and Comments

Nurse Practitioner Nurses in Flint, MI

Andrea Jennae Thurlow, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: G3267 Beecher Rd, Flint, MI 48532 Phone: 989-372-1590 Fax: 866-466-9781
Rebecca Spalo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 E Kearsley St, Flint, MI 48502 Phone: 231-580-1634
Amanda Cook, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5020 W Bristol Rd, Flint, MI 48507 Phone: 810-732-1620
Mrs. Maria Carolina Donnelly, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 Mason St, Flint, MI 48503 Phone: 810-496-5797 Fax: 810-496-5798
Anna Lee Roth, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2184 S Ballenger Hwy, Flint, MI 48503 Phone: 810-232-5627 Fax: 810-232-8024
Jon Russell Krueger, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W 5th Ave, Flint, MI 48503 Phone: 810-257-3736 Fax: 989-723-1205
Ms. Deosha Williams, NURSE PRACITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4203 Cayuga Trl, Flint, MI 48532 Phone: 810-210-8999

Mr Daniel Clark, NURSE PRACITIONER - Medicare Nurse Practitioner in Flint, MI