Mrs Elizabeth Ann Clark, APN in Fort Smith, AR

Mrs Elizabeth Ann Clark, APN is a medicare enrolled "Nurse Practitioner - Family" in Fort Smith, Arkansas. Her current practice location is 1500 Dodson Ave, Suite 60, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 709-7325.

Mrs Elizabeth Ann Clark is licensed to practice in Arkansas (license number A004327) 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 1730579152.

Contact Information

	Mrs Elizabeth Ann Clark, APN
	1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182
	(479) 709-7325
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Elizabeth Ann Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1500 Dodson Ave, Fort Smith, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730579152
Provider Enumeration Date: 01/24/2015
Last Update Date: 11/23/2016

Medicare PECOS Information:

PECOS PAC ID: 1153648407
Enrollment ID: I20150325000732

Medical Identifiers

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

Identifier	Type	State	Issuer
1730579152	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A004327 (Arkansas)	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 Elizabeth Ann Clark allows following entities to bill medicare on her behalf.

Entity Name	Fort Smith Hma Pbc Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477888907 PECOS PAC ID: 8224172127 Enrollment ID: O20100216000383

Entity Name	Mercy Clinic Fort Smith Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699070649 PECOS PAC ID: 3870668510 Enrollment ID: O20110303000543

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 Elizabeth 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 Elizabeth Ann Clark, APN Po Box 11449, Belfast, ME 04915-4005 Ph: (479) 709-1924	Mrs Elizabeth Ann Clark, APN 1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182 Ph: (479) 709-7325

Reviews and Comments

Nurse Practitioner Nurses in Fort Smith, AR

Steven A. Wells, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000
Valentina Nastasi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Rogers Ave, Fort Smith, AR 72903 Phone: 479-226-8340
Mrs. Tonya Renea Allen, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3112 S 70th St, Fort Smith, AR 72903 Phone: 479-452-8600
Mandi T Williams, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7217 Cameron Park Dr, Fort Smith, AR 72903 Phone: 479-831-6007 Fax: 479-782-1242
Tracy Lynn Fisher, APN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Kelley Hwy, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708
Mrs. Athena Frangos-pasley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Dodson Ave, Fort Smith, AR 72901 Phone: 479-709-6850
Mrs. Gayla Denise Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-484-6000

Mrs Elizabeth Ann Clark, APN - Medicare Nurse Practitioner in Fort Smith, AR