Mrs Beverly Ann Clark, APRN-CNP in Moore, OK - Medicare Nurse Practitioner

Mrs Beverly Ann Clark, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Moore, Oklahoma. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Clinic Oklahoma Communities and her current practice location is 1060 Sw 4th St, Moore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 378-5491.

Mrs Beverly Ann Clark is licensed to practice in Oklahoma (license number 205019) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417624362.

Contact Information

	Mrs Beverly Ann Clark, APRN-CNP
	1060 Sw 4th St, Moore, OK 73160-2494
	(405) 378-5491
	(405) 378-5492

Map and Direction

Provider's Profile

Full Name	Mrs Beverly Ann Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1060 Sw 4th St, Moore, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Beverly Ann Clark graduated from nursing school in 2021

NPI Data:

NPI Number: 1417624362
Provider Enumeration Date: 08/27/2021
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 9133512981
Enrollment ID: I20220131001828

Medical Identifiers

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

Identifier	Type	State	Issuer
1417624362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	205019 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Oklahoma City, Inc	Oklahoma city, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Oklahoma Communities	1153468921	502

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 Beverly Ann Clark allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Oklahoma Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755

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 Beverly Ann 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 Beverly Ann Clark, APRN-CNP 1060 Sw 4th St, Moore, OK 73160-2494 Ph: (405) 378-5491	Mrs Beverly Ann Clark, APRN-CNP 1060 Sw 4th St, Moore, OK 73160-2494 Ph: (405) 378-5491

Reviews and Comments

Nurse Practitioner Nurses in Moore, OK

Mrs. Kristen Lanae Rosenau, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 S Telephone Rd Ste 250, Moore, OK 73160 Phone: 405-237-7512
Haley Harrison Strutton, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Eastern Ave, Moore, OK 73160 Phone: 405-757-7818
Mr. Christopher R Stepp, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 612 Madeline Ln, Moore, OK 73160 Phone: 580-334-8661
Dr. Jeffery David Barlow, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 S Service Rd # 6253, Moore, OK 73160 Phone: 888-611-4429 Fax: 888-611-4429
My Nguyen, APRN CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Eastern Ave, Moore, OK 73160 Phone: 405-757-7818 Fax: 405-703-3116
Caroline Anne Whitaker, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1105 Sw 30th Ct, Moore, OK 73160 Phone: 405-378-4439
Miss Jennifer Ann Barber, APRN, ATC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 S Telephone Rd, Moore, OK 73160 Phone: 405-488-0750 Fax: 405-237-7512

Mrs Beverly Ann Clark, APRN-CNP - Medicare Nurse Practitioner in Moore, OK