Mrs Teresa M Clark, CRNP in Moosic, PA - Medicare Nurse Practitioner

Mrs Teresa M Clark, CRNP is a medicare enrolled "Nurse Practitioner" in Moosic, Pennsylvania. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Comprehensive Pain Management Specialists Pc and her current practice location is 340 Montage Mountain Rd, Moosic, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 346-3686.

Mrs Teresa M Clark is licensed to practice in Pennsylvania (license number TP006932B) 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 1306956172.

Contact Information

	Mrs Teresa M Clark, CRNP
	340 Montage Mountain Rd, Moosic, PA 18507-1782
	(570) 346-3686
	(570) 558-6838

Map and Direction

Provider's Profile

Full Name	Mrs Teresa M Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	23 Years
Location	340 Montage Mountain Rd, Moosic, Pennsylvania
Accepts Medicare Assignments	Yes. 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 Teresa M Clark graduated from nursing school in 2001

NPI Data:

NPI Number: 1306956172
Provider Enumeration Date: 08/30/2006
Last Update Date: 09/02/2010

Medicare PECOS Information:

PECOS PAC ID: 1850366410
Enrollment ID: I20040827000966

Medical Identifiers

Medical identifiers for Mrs Teresa M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306956172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	TP006932B (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wilkes-barre General Hospital	Wilkes-barre, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Comprehensive Pain Management Specialists Pc	4880875426	4

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 Teresa M Clark allows following entities to bill medicare on her behalf.

Entity Name	Medop Behavioral Health Associates Of Pennsylvania Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740516293 PECOS PAC ID: 9032252416 Enrollment ID: O20100208000144

Entity Name	Comprehensive Pain Management Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841591211 PECOS PAC ID: 4880875426 Enrollment ID: O20110302000174

Entity Name	Meditelecare Of Pennsylvania Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396351847 PECOS PAC ID: 8527488030 Enrollment ID: O20201022002321

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 Teresa M 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 Teresa M Clark, CRNP 340 Montage Mountain Rd, Moosic, PA 18507-1782 Ph: (570) 346-3686	Mrs Teresa M Clark, CRNP 340 Montage Mountain Rd, Moosic, PA 18507-1782 Ph: (570) 346-3686

Reviews and Comments

Nurse Practitioner Nurses in Moosic, PA

Marie T Zedalis, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838
Tomislav Kucuk, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Glenmaura National Boulevard, Moosic, PA 18507 Phone: 570-808-7300
Amanda Leigh Craven, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686
Jessica M Sabato, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838
Lula Thomas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838
Amber Michele Parker, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686

Mrs Teresa M Clark, CRNP - Medicare Nurse Practitioner in Moosic, PA