Mrs Dakota Ellis Clark, FNP in Scottsboro, AL

Mrs Dakota Ellis Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Scottsboro, Alabama. Her current practice location is 380 Woods Cove Rd, Scottsboro, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 218-3340.

Mrs Dakota Ellis Clark is licensed to practice in Alabama (license number 1-156690) 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 1033894043.

Contact Information

	Mrs Dakota Ellis Clark, FNP
	380 Woods Cove Rd, Scottsboro, AL 35768-2428
	(256) 218-3340
	(256) 218-3655

Map and Direction

Provider's Profile

Full Name	Mrs Dakota Ellis Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	380 Woods Cove Rd, Scottsboro, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033894043
Provider Enumeration Date: 06/19/2023
Last Update Date: 06/19/2023

Medicare PECOS Information:

PECOS PAC ID: 9638532047
Enrollment ID: I20230901001912

Medical Identifiers

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

Identifier	Type	State	Issuer
1033894043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-156690 (Alabama)	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 Dakota Ellis Clark allows following entities to bill medicare on her behalf.

Entity Name	Highlands Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750041786 PECOS PAC ID: 0648666198 Enrollment ID: O20220408001223

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 Dakota Ellis 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 Dakota Ellis Clark, FNP 380 Woods Cove Rd, Scottsboro, AL 35768-2428 Ph: (256) 218-3340	Mrs Dakota Ellis Clark, FNP 380 Woods Cove Rd, Scottsboro, AL 35768-2428 Ph: (256) 218-3340

Reviews and Comments

Nurse Practitioner Nurses in Scottsboro, AL

Marla Byrum, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 412 W Cloverdale Rd, Scottsboro, AL 35768 Phone: 337-991-9276
Mrs. Maura Owens Galvez, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808
Julie Elizabeth Johnson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 Veterans Dr Ste 107, Scottsboro, AL 35769 Phone: 256-999-0337 Fax: 256-999-0335
Ms. Charis W Peek, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2207 Moody Ridge Rd, Scottsboro, AL 35768 Phone: 256-259-1327
Claudette B Wygal, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Burlington St, Scottsboro, AL 35768 Phone: 256-259-4100 Fax: 256-259-4104
Mrs. Laura C Walls, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 S Broad St Ste 300, Scottsboro, AL 35768 Phone: 256-259-3600 Fax: 256-256-3601

Mrs Dakota Ellis Clark, FNP - Medicare Nurse Practitioner in Scottsboro, AL