Mrs Susan D Clark, NP-C - Medicare Nurse Practitioner in Liberty, TX

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Mrs Susan D Clark, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Liberty, Texas. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Christus Trinity Clinic and her current practice location is 1353 N Travis St, Liberty, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 336-5881.

Mrs Susan D Clark is licensed to practice in Texas (license number AP128323) 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 1770964991.

Contact Information

Mrs Susan D Clark, NP-C
1353 N Travis St,
Liberty, TX 77575-3549
(936) 336-5881
Not Available

Map and Direction




Provider's Profile

Full NameMrs Susan D Clark
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1353 N Travis St, Liberty, Texas
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 Susan D Clark graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1770964991
  • Provider Enumeration Date: 06/12/2015
  • Last Update Date: 06/12/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2668752304
  • Enrollment ID: I20161215000101

Medical Identifiers

Medical identifiers for Mrs Susan D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770964991NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP128323 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Christus Trinity Clinic30724267411217

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 Susan D Clark allows following entities to bill medicare on her behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091

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 Susan D 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 Susan D Clark, NP-C
1353 N Travis St,
Liberty, TX 77575-3549

Ph: (936) 336-5881		Mrs Susan D Clark, NP-C
1353 N Travis St,
Liberty, TX 77575-3549

Ph: (936) 336-5881

Reviews and Comments


Nurse Practitioner Nurses in Liberty, TX

Ruth Teague, RN, FNP
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Phone: 936-336-3616    
Ms. Letha Ferguson, FNPC
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Practice Location: 723 Main St, Liberty, TX 77575
Phone: 936-253-8911    
Mrs. Veronica Renee Roth, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 723 Main St, Liberty, TX 77575
Phone: 936-776-4517    Fax: 936-253-8910
Tracy Mathews Allen, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1343 County Road 2005, Liberty, TX 77575
Phone: 936-298-3088    Fax: 936-298-1986
Steven Wayne Branham, RN, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1353 N Travis St, Liberty, TX 77575
Phone: 936-336-7316    Fax: 936-336-5947
Dale Wayne Brock, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2718a N Main St, Liberty, TX 77575
Phone: 936-336-3616    

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.