Ms Kendall Clark, FNP-C - Medicare Nurse Practitioner in Sylvania, GA

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Ms Kendall Clark, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sylvania, Georgia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 715 W Ogeechee St, Sylvania, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 451-4100.

Ms Kendall Clark is licensed to practice in Georgia (license number RN209683) 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 1821489337.

Contact Information

Ms Kendall Clark, FNP-C
715 W Ogeechee St,
Sylvania, GA 30467-8693
(912) 451-4100
(912) 451-4105

Map and Direction




Provider's Profile

Full NameMs Kendall Clark
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location715 W Ogeechee St, Sylvania, Georgia
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:
  • Ms Kendall Clark graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1821489337
  • Provider Enumeration Date: 02/05/2015
  • Last Update Date: 03/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678882339
  • Enrollment ID: I20151020000676

Medical Identifiers

Medical identifiers for Ms Kendall Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821489337NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN209683 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Optim Medical Center - ScrevenSylvania, GAHospital
East Georgia Regional Medical CenterStatesboro, GAHospital

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. Ms Kendall Clark allows following entities to bill medicare on her behalf.
Entity NameScreven County Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225339898
PECOS PAC ID: 5496944712
Enrollment ID: O20110321000565
Entity NameClark Family Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114594389
PECOS PAC ID: 2668864885
Enrollment ID: O20220120002825

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 Kendall 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
Ms Kendall Clark, FNP-C
Po Box 194,
Sylvania, GA 30467-0194

Ph: (912) 451-4100		Ms Kendall Clark, FNP-C
715 W Ogeechee St,
Sylvania, GA 30467-8693

Ph: (912) 451-4100

Reviews and Comments


Nurse Practitioner Nurses in Sylvania, GA

Karen Beale Anderson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 Rocky Ford Rd, Sylvania, GA 30467
Phone: 912-564-7133    Fax: 912-564-2619
Ms. Mary Lana Jarrell, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 416 Pine St, Sylvania, GA 30467
Phone: 912-564-2182    
Mrs. Teresita Maria Smith, PHD, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 626 Old River Rd, Sylvania, GA 30467
Phone: 912-829-5300    Fax: 912-829-5335

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.