Mr Michael James Clark, FNP is a
Nurse Practitioner - Family based in Utica, Kentucky. Mr Michael James Clark is licensed to practice in Kentucky (license number 3017548) and his current practice location is
6469 Us Highway 231, Utica, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 993-6825.
NPI number for Mr Michael James Clark is 1922718550 and his current mailing address is 6469 Us Highway 231, Utica, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922718550.
Provider's Profile
Full Name | Mr Michael James Clark |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 6469 Us Highway 231, Utica, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922718550
- Provider Enumeration Date: 12/05/2022
- Last Update Date: 12/05/2022
Medical Identifiers
Medical identifiers for Mr Michael James Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922718550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 3017548 (Kentucky) | Primary |
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 Michael James Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Michael James Clark, FNP 6469 Us Highway 231, Utica, KY 42376-9018 Ph: (270) 993-6825 | Mr Michael James Clark, FNP 6469 Us Highway 231, Utica, KY 42376-9018 Ph: (270) 993-6825 |
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