Mrs Taylor Ellis Clark, FNP-C in Greenville, SC

Mrs Taylor Ellis Clark, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Greenville, South Carolina. Her current practice location is 10 Enterprise Blvd Ste 45, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 295-6399.

Mrs Taylor Ellis Clark is licensed to practice in South Carolina (license number 27071) 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 1952008351.

Contact Information

	Mrs Taylor Ellis Clark, FNP-C
	10 Enterprise Blvd Ste 45, Greenville, SC 29615-6301
	(864) 295-6399
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Taylor Ellis Clark
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	10 Enterprise Blvd Ste 45, Greenville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952008351
Provider Enumeration Date: 02/15/2023
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7517329345
Enrollment ID: I20230810003924

Medical Identifiers

Medical identifiers for Mrs Taylor Ellis Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952008351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	27071 (South Carolina)	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 Taylor Ellis Clark allows following entities to bill medicare on her behalf.

Entity Name	Carolinas Center For Advanced Management Of Pain Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750304002 PECOS PAC ID: 4880593771 Enrollment ID: O20040108000894

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 Taylor Ellis 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 Taylor Ellis Clark, FNP-C 44 Duke St, Greenville, SC 29605-4423 Ph: (864) 270-6327	Mrs Taylor Ellis Clark, FNP-C 10 Enterprise Blvd Ste 45, Greenville, SC 29615-6301 Ph: (864) 295-6399

Reviews and Comments

Nurse Practitioner Nurses in Greenville, SC

Jennifer Hardy Singletary, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Verdae Blvd Ste 150, Greenville, SC 29607 Phone: 864-720-1900 Fax: 864-720-1901
Tracey Ann Hoxie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3807 White Horse Rd Ste Dande, Greenville, SC 29611 Phone: 864-236-5688
Matthew Keaton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 357 Woodruff Rd, Greenville, SC 29607 Phone: 864-522-8350
Jason Collins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7000
Mary Katelyn Hodges, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2210 Laurens Rd, Greenville, SC 29607 Phone: 864-288-8280
Mr. Matthew Fischer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Enterprise Blvd Ste 101, Greenville, SC 29615 Phone: 864-454-8120 Fax: 864-454-8125
Rebecca Dawn Leicht, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 Wade Hampton Blvd Ste 120, Greenville, SC 29609 Phone: 864-522-5000 Fax: 864-241-9275

Mrs Taylor Ellis Clark, FNP-C - Medicare Nurse Practitioner in Greenville, SC