Mrs Michelle Allison Clark, FNP - Medicare Nurse Practitioner in Stamford, CT

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Mrs Michelle Allison Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Stamford, Connecticut. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Solid Tumor Group, Memorial Developmental Chemo Group and her current practice location is 413 Glenbrook Rd, 9, Stamford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (973) 518-1601.

Mrs Michelle Allison Clark is licensed to practice in New York (license number 340960) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215488168.

Contact Information

Mrs Michelle Allison Clark, FNP
413 Glenbrook Rd, 9,
Stamford, CT 06906-2126
(973) 518-1601
Not Available

Map and Direction




Provider's Profile

Full NameMrs Michelle Allison Clark
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location413 Glenbrook Rd, Stamford, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Michelle Allison Clark graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1215488168
  • Provider Enumeration Date: 10/16/2016
  • Last Update Date: 10/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9739434978
  • Enrollment ID: I20180612002178

Medical Identifiers

Medical identifiers for Mrs Michelle Allison Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215488168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 340960 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Solid Tumor Group4082503354261
Memorial Developmental Chemo Group539563641963

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 Michelle Allison Clark allows following entities to bill medicare on her behalf.
Entity NameMemorial Medical Consultation Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053382523
PECOS PAC ID: 6406755081
Enrollment ID: O20040102000372
Entity NameMemorial Solid Tumor Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699746172
PECOS PAC ID: 4082503354
Enrollment ID: O20040313000668
Entity NameMemorial Developmental Chemo Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912978487
PECOS PAC ID: 5395636419
Enrollment ID: O20040320000110
Entity NameMsk Harrison
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174923593
PECOS PAC ID: 1052634045
Enrollment ID: O20141224000110

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 Michelle Allison 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 AddressPractice Location Address
Mrs Michelle Allison Clark, FNP
413 Glenbrook Rd, 9,
Stamford, CT 06906-2126

Ph: (973) 518-1601		Mrs Michelle Allison Clark, FNP
413 Glenbrook Rd, 9,
Stamford, CT 06906-2126

Ph: (973) 518-1601

Reviews and Comments


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Eleina Sapoz, APRN
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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).

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