Nicole Clark, is a medicare enrolled "Hospitalist" in Everett, Pennsylvania. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Central Vermont Medical Center Inc and her current practice location is
10455 Lincoln Hwy, Everett, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 623-6161.
Nicole Clark is licensed to practice in Pennsylvania (license number MA061686) 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 1720606130.
Provider's Profile
| Full Name | Nicole Clark |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 4 Years |
|---|
| Location | 10455 Lincoln Hwy, Everett, Pennsylvania |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Nicole Clark graduated from nursing school in 2020
NPI Data:
- NPI Number: 1720606130
- Provider Enumeration Date: 07/13/2020
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890112437
- Enrollment ID: I20230801001729
Medical Identifiers
Medical identifiers for Nicole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720606130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 055-0031682 (Vermont) | Secondary |
| 208M00000X | Hospitalist | MA061686 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Central Vermont Medical Center Inc | 9335138817 | 202 |
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. Nicole 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 |
|---|
Nicole Clark,
412 Bunker Hill Rd,
Everett, PA 15537-5539
Ph: () - | Nicole Clark,
10455 Lincoln Hwy,
Everett, PA 15537-7046
Ph: (814) 623-6161 |
Reviews and Comments