Mrs Jennifer Gayle Ries-clark, FNPC in Peoria, AZ

Mrs Jennifer Gayle Ries-clark, FNPC is a medicare enrolled "Nurse Practitioner - Family" in Peoria, Arizona. Her current practice location is 8009 W Salter Dr, Peoria, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 663-8127.

Mrs Jennifer Gayle Ries-clark is licensed to practice in Arizona (license number 219824) 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 1619435310.

Contact Information

	Mrs Jennifer Gayle Ries-clark, FNPC
	8009 W Salter Dr, Peoria, AZ 85382-4440
	(602) 663-8127
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Gayle Ries-clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8009 W Salter Dr, Peoria, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619435310
Provider Enumeration Date: 03/12/2019
Last Update Date: 03/12/2019

Medicare PECOS Information:

PECOS PAC ID: 0042677445
Enrollment ID: I20230530002618

Medical Identifiers

Medical identifiers for Mrs Jennifer Gayle Ries-clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619435310	NPI	-	NPPES
219824	Other	AZ	ARIZONA ADVANCED PRACTICE LICENCE
RN157294	Other	AZ	ARIZONA STATE BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	219824 (Arizona)	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 Jennifer Gayle Ries-clark allows following entities to bill medicare on her behalf.

Entity Name	Honorhealth Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043851793 PECOS PAC ID: 1557274057 Enrollment ID: O20031119000717

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 Jennifer Gayle Ries-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 Jennifer Gayle Ries-clark, FNPC 8009 W Salter Dr, Peoria, AZ 85382-4440 Ph: (602) 663-8127	Mrs Jennifer Gayle Ries-clark, FNPC 8009 W Salter Dr, Peoria, AZ 85382-4440 Ph: (602) 663-8127

Reviews and Comments

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Mrs Jennifer Gayle Ries-clark, FNPC - Medicare Nurse Practitioner in Peoria, AZ