Ms Wendy Marie Clark, APRN in Winter Haven, FL

Ms Wendy Marie Clark, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Winter Haven, Florida. Her current practice location is 244 Avenue D Sw, Winter Haven, Florida. You can reach out to her office (for appointments etc.) via phone at (866) 234-8534.

Ms Wendy Marie Clark is licensed to practice in Florida (license number APRN11017867) 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 1902102536.

Contact Information

	Ms Wendy Marie Clark, APRN
	244 Avenue D Sw, Winter Haven, FL 33880-3423
	(866) 234-8534
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Wendy Marie Clark
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	244 Avenue D Sw, Winter Haven, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902102536
Provider Enumeration Date: 01/29/2011
Last Update Date: 02/22/2024

Medicare PECOS Information:

PECOS PAC ID: 2668868324
Enrollment ID: I20220405002110

Medical Identifiers

Medical identifiers for Ms Wendy Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902102536	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	PN1282021 (Florida)	Secondary
363L00000X	Nurse Practitioner	APRN11017867 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11017867 (Florida)	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 Wendy Marie Clark allows following entities to bill medicare on her behalf.

Entity Name	Central Florida Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467449660 PECOS PAC ID: 0143127951 Enrollment ID: O20031218000228

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 Wendy Marie 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 Wendy Marie Clark, APRN 47 5th St Nw, Winter Haven, FL 33881-4672 Ph: (866) 234-8534	Ms Wendy Marie Clark, APRN 244 Avenue D Sw, Winter Haven, FL 33880-3423 Ph: (866) 234-8534

Reviews and Comments

Nurse Practitioner Nurses in Winter Haven, FL

Yvelene Normil, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4968 Jackson St, Winter Haven, FL 33884 Phone: 786-859-8464
Mrs. Jessica Marie Valente, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 Pope Ave Nw, Winter Haven, FL 33881 Phone: 863-293-2144 Fax: 863-293-3732
Amy Londono, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Cambridge Dr, Winter Haven, FL 33881 Phone: 954-512-4009
Cheryl Williams Grothmann, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3250 Crump Rd, Winter Haven, FL 33881 Phone: 941-779-6219
Mrs. Kimberly Joann Jensen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 427 E Central Ave, Winter Haven, FL 33880 Phone: 863-299-1107 Fax: 863-291-3318
Kaley Puckett, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 435 2nd St Ne, Winter Haven, FL 33881 Phone: 863-333-5723
Ms. Ebony Monique Rollins, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1134 1st St S, Winter Haven, FL 33880 Phone: 863-268-4626

Ms Wendy Marie Clark, APRN - Medicare Nurse Practitioner in Winter Haven, FL