Mrs Maribeth Collard Clark, CRNP in Mobile, AL

Mrs Maribeth Collard Clark, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Mobile, Alabama. Her current practice location is 6801 Airport Blvd, Hospitalist Dept., Mobile, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 639-5775.

Mrs Maribeth Collard Clark is licensed to practice in Alabama (license number 1-098071) 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 1730577016.

Contact Information

	Mrs Maribeth Collard Clark, CRNP
	6801 Airport Blvd, Hospitalist Dept., Mobile, AL 36608-3709
	(251) 639-5775
	(251) 631-3581

Map and Direction

Provider's Profile

Full Name	Mrs Maribeth Collard Clark
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	6801 Airport Blvd, Mobile, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730577016
Provider Enumeration Date: 01/08/2015
Last Update Date: 01/08/2015

Medicare PECOS Information:

PECOS PAC ID: 4284092842
Enrollment ID: I20230614002523

Medical Identifiers

Medical identifiers for Mrs Maribeth Collard Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730577016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-098071 (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 Maribeth Collard Clark allows following entities to bill medicare on her behalf.

Entity Name	Providence Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952390643 PECOS PAC ID: 9830111871 Enrollment ID: O20051219000880

Entity Name	Usa Health Community Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801571823 PECOS PAC ID: 2062875479 Enrollment ID: O20230913000247

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 Maribeth Collard 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 Maribeth Collard Clark, CRNP 6801 Airport Blvd, Hospitalist Dept., Mobile, AL 36608-3709 Ph: (251) 639-5775	Mrs Maribeth Collard Clark, CRNP 6801 Airport Blvd, Hospitalist Dept., Mobile, AL 36608-3709 Ph: (251) 639-5775

Reviews and Comments

Nurse Practitioner Nurses in Mobile, AL

Mrs. Jennifer Gallagher Williams, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Center St, Ste 1s, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-434-3852
Mrs. Kathleen R. Carlen-magnone, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 251-639-5775 Fax: 251-631-3581
Kayla Clemons, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 Fax: 251-450-2770
Mackenzie Krebsbach Roberts, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mobile, AL 36617 Phone: 251-471-7565
Lauren Marie Mcminn, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 Spring Hill Ave, Mobile, AL 36607 Phone: 251-471-3544 Fax: 251-476-7456
Katherine Kinsaul, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-435-2620
Wesley Kyle Dees, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mstn 101, Mobile, AL 36617 Phone: 251-445-8282 Fax: 251-445-8281

Mrs Maribeth Collard Clark, CRNP - Medicare Nurse Practitioner in Mobile, AL