Paula Fae Clark, FNP in Greeley, CO - Medicare Nurse Practitioner

Paula Fae Clark, FNP is a medicare enrolled "Nurse Practitioner" in Greeley, Colorado. Her current practice location is 1555 N 17th Ave, Greeley, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 304-6425.

Paula Fae Clark is licensed to practice in Colorado (license number 991016) 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 1366867400.

Contact Information

	Paula Fae Clark, FNP
	1555 N 17th Ave, Greeley, CO 80631-9117
	(970) 304-6425
	(970) 304-6416

Map and Direction

Provider's Profile

Full Name	Paula Fae Clark
Gender	Female
Speciality	Nurse Practitioner
Location	1555 N 17th Ave, Greeley, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366867400
Provider Enumeration Date: 02/26/2014
Last Update Date: 11/16/2016

Medicare PECOS Information:

PECOS PAC ID: 5294054300
Enrollment ID: I20161230000074

Medical Identifiers

Medical identifiers for Paula Fae Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366867400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	76276 (Kansas)	Secondary
363L00000X	Nurse Practitioner	991016 (Colorado)	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. Paula Fae Clark allows following entities to bill medicare on her behalf.

Entity Name	Sunrise Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902005382 PECOS PAC ID: 0648164780 Enrollment ID: O20040329001864

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. Paula Fae 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
Paula Fae Clark, FNP 2930 11th Ave, Evans, CO 80620-1011 Ph: (970) 350-4606	Paula Fae Clark, FNP 1555 N 17th Ave, Greeley, CO 80631-9117 Ph: (970) 304-6425

Reviews and Comments

Nurse Practitioner Nurses in Greeley, CO

Brittany Grounds, AGACNP - BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6810 10th St, Greeley, CO 80634 Phone: 970-425-6770
Karla Dawn Ornelas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2410 W 16th St, Greeley, CO 80634 Phone: 970-810-3988 Fax: 970-810-3989
Dorothy Marie Schulte, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 23rd Ave, Greeley, CO 80634 Phone: 970-356-2424 Fax: 970-346-2828
Melissa Rae Dellinger, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2015 35th Ave, Greeley, CO 80634 Phone: 970-810-4155
Mr. Luke Patrick Roddy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1130 38th Ave Ste A, Greeley, CO 80634 Phone: 970-888-0399 Fax: 833-499-1782
Beth Ann Ramsey, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4800 W 25th St, Greeley, CO 80634 Phone: 970-674-0079 Fax: 970-419-4780
Kelly Beth Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6801 W 20th St Unit 101, Greeley, CO 80634 Phone: 970-378-8000

Paula Fae Clark, FNP - Medicare Nurse Practitioner in Greeley, CO