Mrs Ashley Clark, APRN, NP-C, PMHNP-BC in Baton Rouge, LA

Mrs Ashley Clark, APRN, NP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baton Rouge, Louisiana. Her current practice location is 2900 Westfork Dr Ste 401, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 255-0899.

Mrs Ashley Clark is licensed to practice in Louisiana (license number AP06868) 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 1548497084.

Contact Information

	Mrs Ashley Clark, APRN, NP-C, PMHNP-BC
	2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004
	(225) 255-0899
	(225) 341-4345

Map and Direction

Provider's Profile

Full Name	Mrs Ashley Clark
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2900 Westfork Dr Ste 401, Baton Rouge, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548497084
Provider Enumeration Date: 06/11/2009
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 0042455826
Enrollment ID: I20130507000431

Medical Identifiers

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

Identifier	Type	State	Issuer
1548497084	NPI	-	NPPES
2308360	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	122036 (Louisiana)	Secondary
363LF0000X	Nurse Practitioner - Family	AP06868 (Louisiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	C-APN.0100900-C-NP (Colorado)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AC005595 (Maryland)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	AP06868 (Louisiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP06868 (Louisiana)	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 Ashley Clark allows following entities to bill medicare on her behalf.

Entity Name	Serenity Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043785124 PECOS PAC ID: 4587908025 Enrollment ID: O20181210003032

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 Ashley 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 Ashley Clark, APRN, NP-C, PMHNP-BC Po Box 1726, Walker, LA 70785-1726 Ph: (225) 255-0899	Mrs Ashley Clark, APRN, NP-C, PMHNP-BC 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 Ph: (225) 255-0899

Reviews and Comments

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Mrs Ashley Clark, APRN, NP-C, PMHNP-BC - Medicare Nurse Practitioner in Baton Rouge, LA