Mrs Amber Tressa Clark, PMHNP-BC in Tucson, AZ

Mrs Amber Tressa Clark, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tucson, Arizona. Her current practice location is 6790 E Calle La Paz Unit 5201, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (562) 202-2883.

Mrs Amber Tressa Clark is licensed to practice in Arizona (license number 274168) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003686437.

Contact Information

	Mrs Amber Tressa Clark, PMHNP-BC
	6790 E Calle La Paz Unit 5201, Tucson, AZ 85715-9011
	(562) 202-2883
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amber Tressa Clark
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6790 E Calle La Paz Unit 5201, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003686437
Provider Enumeration Date: 01/08/2024
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 4284070129
Enrollment ID: I20240313002827

Medical Identifiers

Medical identifiers for Mrs Amber Tressa Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003686437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	274168 (Arizona)	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. Mrs Amber Tressa Clark allows following entities to bill medicare on her behalf.

Entity Name	Connections Southernaz, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982362943 PECOS PAC ID: 2769874197 Enrollment ID: O20220117000261

Entity Name	Remind Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679216725 PECOS PAC ID: 3274907175 Enrollment ID: O20230315002983

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. Mrs Amber Tressa 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
Mrs Amber Tressa Clark, PMHNP-BC 6790 E Calle La Paz Unit 5201, Tucson, AZ 85715-9011 Ph: (562) 202-2883	Mrs Amber Tressa Clark, PMHNP-BC 6790 E Calle La Paz Unit 5201, Tucson, AZ 85715-9011 Ph: (562) 202-2883

Reviews and Comments

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Mrs Amber Tressa Clark, PMHNP-BC - Medicare Nurse Practitioner in Tucson, AZ