Mrs Jacquelyn Irene Clark, LPN - Licensed Practical Nurse in Sardis, OH

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Mrs Jacquelyn Irene Clark, LPN is a Licensed Practical Nurse based in Sardis, Ohio. Mrs Jacquelyn Irene Clark is licensed to practice in Ohio (license number PN091690) and her current practice location is 48696 Benwood Rd, Sardis, Ohio. She can be reached at her office (for appointments etc.) via phone at (740) 483-2249.

NPI number for Mrs Jacquelyn Irene Clark is 1467503334 and her current mailing address is 48696 Benwood Rd, Sardis, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467503334.

Contact Information

Mrs Jacquelyn Irene Clark, LPN
48696 Benwood Rd,
Sardis, OH 43946-9638
(740) 483-2249
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jacquelyn Irene Clark
GenderFemale
SpecialityLicensed Practical Nurse
Location48696 Benwood Rd, Sardis, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467503334
  • Provider Enumeration Date: 01/16/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Jacquelyn Irene Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467503334NPI-NPPES
2564130MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse PN091690 (Ohio)Primary
164W00000XLicensed Practical Nurse 12185 (West Virginia)Secondary

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 Jacquelyn Irene Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jacquelyn Irene Clark, LPN
48696 Benwood Rd,
Sardis, OH 43946-9638

Ph: (740) 483-2249		Mrs Jacquelyn Irene Clark, LPN
48696 Benwood Rd,
Sardis, OH 43946-9638

Ph: (740) 483-2249

Reviews and Comments


Licensed Practical Nurse Nurses in Sardis, OH


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.