Ms Vicki E Clark, NP - Medicare Nurse Practitioner in Lumberton, NC

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Ms Vicki E Clark, NP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Lumberton, North Carolina. Her current practice location is 460 Country Club Rd, Lumberton, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 671-3200.

Ms Vicki E Clark is licensed to practice in North Carolina (license number 940105) 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 1609878800.

Contact Information

Ms Vicki E Clark, NP
460 Country Club Rd,
Lumberton, NC 28360-9494
(910) 671-3200
(910) 671-3484

Map and Direction




Provider's Profile

Full NameMs Vicki E Clark
GenderFemale
SpecialityNurse Practitioner - Obstetrics & Gynecology
Location460 Country Club Rd, Lumberton, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609878800
  • Provider Enumeration Date: 06/01/2005
  • Last Update Date: 10/01/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2567419534
  • Enrollment ID: I20050401000183

Medical Identifiers

Medical identifiers for Ms Vicki E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609878800NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LX0001XNurse Practitioner - Obstetrics & Gynecology 940105 (North 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. Ms Vicki E Clark allows following entities to bill medicare on her behalf.
Entity NameCumberland County Hospital System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881946242
PECOS PAC ID: 1850204041
Enrollment ID: O20031112000693
Entity NameCounty Of Hoke
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134286321
PECOS PAC ID: 3173555679
Enrollment ID: O20050906000784
Entity NameHoke Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114277035
PECOS PAC ID: 1153569405
Enrollment ID: O20130529000286

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 Vicki E 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 Vicki E Clark, NP
460 Country Club Rd,
Lumberton, NC 28360-9494

Ph: (910) 671-3200		Ms Vicki E Clark, NP
460 Country Club Rd,
Lumberton, NC 28360-9494

Ph: (910) 671-3200

Reviews and Comments


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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.