Mrs Susan Louise Clark, NP - Medicare Nurse Practitioner in Clarkston, MI

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Mrs Susan Louise Clark, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clarkston, Michigan. Her current practice location is 5701 Bow Pointe Dr, Suite 225, Clarkston, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 384-8300.

Mrs Susan Louise Clark is licensed to practice in Michigan (license number 4704201015) 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 1043525025.

Contact Information

Mrs Susan Louise Clark, NP
5701 Bow Pointe Dr, Suite 225,
Clarkston, MI 48346-3198
(248) 384-8300
(248) 384-8309

Map and Direction




Provider's Profile

Full NameMrs Susan Louise Clark
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5701 Bow Pointe Dr, Clarkston, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043525025
  • Provider Enumeration Date: 08/13/2010
  • Last Update Date: 08/13/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8921253725
  • Enrollment ID: I20130228000177

Medical Identifiers

Medical identifiers for Mrs Susan Louise Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043525025NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 4704201015 (Michigan)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704201015 (Michigan)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 Susan Louise Clark allows following entities to bill medicare on her behalf.
Entity NameHarbor Beach Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619059458
PECOS PAC ID: 7214903483
Enrollment ID: O20040908001458

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 Louise 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 Louise Clark, NP
5701 Bow Pointe Dr, Suite 225,
Clarkston, MI 48346-3198

Ph: (248) 384-8300		Mrs Susan Louise Clark, NP
5701 Bow Pointe Dr, Suite 225,
Clarkston, MI 48346-3198

Ph: (248) 384-8300

Reviews and Comments


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Bradley David Winter, NP
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Practice Location: 7300 Dixie Hwy Ste 1000, Clarkston, MI 48346
Phone: 517-882-3732    Fax: 517-882-3633

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.