Ms Bonnie L Clark, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Veazie, Maine. Her current practice location is
5 Silver Rdg, Veazie, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 942-0824.
Ms Bonnie L Clark is licensed to practice in Maine (license number CNP81695) 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 1063563310.
Provider's Profile
Full Name | Ms Bonnie L Clark |
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Gender | Female |
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Speciality | Nurse Practitioner - Women's Health |
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Location | 5 Silver Rdg, Veazie, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063563310
- Provider Enumeration Date: 01/15/2007
- Last Update Date: 06/26/2013
Medicare PECOS Information:
- PECOS PAC ID: 5597918359
- Enrollment ID: I20130104000223
Medical Identifiers
Medical identifiers for Ms Bonnie L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063563310 | NPI | - | NPPES |
CNP81695 | Other | ME | MAINE STATE BOARD OF NURSING |
RN18038 | Other | ME | MAINE STATE BOARD OF NURSING |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LW0102X | Nurse Practitioner - Women's Health | CNP81695 (Maine) | Primary |
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. Ms Bonnie L 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 |
Ms Bonnie L Clark, WHNP-BC 5 Silver Rdg, Veazie, ME 04401-7086 Ph: (207) 942-0824 | Ms Bonnie L Clark, WHNP-BC 5 Silver Rdg, Veazie, ME 04401-7086 Ph: (207) 942-0824 |
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