Nadia Shanise Clark, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bassfield, Mississippi. Her current practice location is
4297 Us Highway 42, Bassfield, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 943-5060.
Nadia Shanise Clark is licensed to practice in Mississippi (license number 904907) 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 1689345506.
Provider's Profile
| Full Name | Nadia Shanise Clark |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 4297 Us Highway 42, Bassfield, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nadia Shanise Clark attended and graduated from in
NPI Data:
- NPI Number: 1689345506
- Provider Enumeration Date: 09/21/2021
- Last Update Date: 03/02/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Nadia Shanise Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689345506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 904907 (Mississippi) | 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. Nadia Shanise 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 |
|---|
Nadia Shanise Clark, FNP-C
8 Sequatchie,
Hattiesburg, MS 39402-1269
Ph: (601) 410-7189 | Nadia Shanise Clark, FNP-C
4297 Us Highway 42,
Bassfield, MS 39421
Ph: (601) 943-5060 |
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