Jennifer L Clark, - Medicare Nurse Practitioner in Chicago, IL

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Jennifer L Clark, is a medicare enrolled "Clinical Nurse Specialist" in Chicago, Illinois. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The University Of Chicago Medical Center and her current practice location is 5841 S Maryland Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 824-0200.

Jennifer L Clark is licensed to practice in Illinois (license number 209001517) 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 1932376043.

Contact Information

Jennifer L Clark,
5841 S Maryland Ave,
Chicago, IL 60637-1443
(888) 824-0200
Not Available

Map and Direction




Provider's Profile

Full NameJennifer L Clark
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location5841 S Maryland Ave, Chicago, Illinois
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:
  • Jennifer L Clark graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1932376043
  • Provider Enumeration Date: 05/08/2008
  • Last Update Date: 10/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5395800759
  • Enrollment ID: I20090218000459

Medical Identifiers

Medical identifiers for Jennifer L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932376043NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364S00000XClinical Nurse Specialist 209001517 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The University Of Chicago Medical CenterChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The University Of Chicago Medical Center7618880766779

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. Jennifer L Clark allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Chicago
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821048786
PECOS PAC ID: 7719899426
Enrollment ID: O20031103000094
Entity NameThe University Of Chicago Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033218128
PECOS PAC ID: 7618880766
Enrollment ID: O20031113000198
Entity NameGranite City Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669926424
PECOS PAC ID: 8527356591
Enrollment ID: O20161006000282

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. Jennifer 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 AddressPractice Location Address
Jennifer L Clark,
150 Harvester Dr, Suite 300,
Burr Ridge, IL 60527-5919

Ph: () -		Jennifer L Clark,
5841 S Maryland Ave,
Chicago, IL 60637-1443

Ph: (888) 824-0200

Reviews and Comments


Clinical Nurse Specialist Nurses in Chicago, IL

Heather Keldahl, CRNA
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 1653 W Congress Pkwy, Jelke 739, Chicago, IL 60612
Phone: 312-942-6504    Fax: 312-942-5773
Nancy Therese Scott, DNP
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 5841 S Maryland Avenue, University Of Chicago Medicine, Chicago, IL 60637
Phone: 773-926-9147    Fax: 773-702-8690
Patricia Nwadinma Ezirike, PMHNP
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Medicare: Not Enrolled in Medicare
Practice Location: 2207 W Lunt Ave, Chicago, IL 60645
Phone: 773-297-7911    
Gabriel Campos,
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 5841 S Maryland Ave, Chicago, IL 60637
Phone: 773-702-1927    Fax: 773-702-2837
Maria Barnes, C.N.S.
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 5841 S Maryland Ave, Chicago, IL 60637
Phone: 773-702-1000    
Mary Jane Welch, NP
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 2150 W Harrison St, Chicago, IL 60612
Phone: 312-942-3112    Fax: 312-942-2874
Nancy Ruth Meyer, APN
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 2545 S King Dr, Chicago, IL 60616
Phone: 312-842-7117    

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.