Samuel Clark, FNP in Wells, ME - Medicare Nurse Practitioner

Samuel Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Wells, Maine. His current practice location is 112 Sanford Rd, Wells, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 646-5211.

Samuel Clark is licensed to practice in Maine (license number CNP241398) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720245673.

Contact Information

	Samuel Clark, FNP
	112 Sanford Rd, Wells, ME 04090-5533
	(207) 646-5211
	Not Available

Map and Direction

Provider's Profile

Full Name	Samuel Clark
Gender	Male
Speciality	Nurse Practitioner - Family
Location	112 Sanford Rd, Wells, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720245673
Provider Enumeration Date: 05/19/2008
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 9931630589
Enrollment ID: I20241007001983

Medical Identifiers

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

Identifier	Type	State	Issuer
1720245673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP241398 (Maine)	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. Samuel Clark allows following entities to bill medicare on his behalf.

Entity Name	York Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376528398 PECOS PAC ID: 6406766781 Enrollment ID: O20040812001065

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. Samuel 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
Samuel Clark, FNP 317 Laudholm Farm Rd, Wells, ME 04090-4707 Ph: (617) 320-5256	Samuel Clark, FNP 112 Sanford Rd, Wells, ME 04090-5533 Ph: (207) 646-5211

Reviews and Comments

Nurse Practitioner Nurses in Wells, ME

Jane G. Adams, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Sanford Rd, Suite 2a, Wells, ME 04090 Phone: 207-641-8044 Fax: 207-854-1516
Ashley Navickis Webster, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 Sanford Rd, Wells, ME 04090 Phone: 207-641-6555
Ms. Rebecca Mary Holdsworth, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Burnt Mill Rd, Wells, ME 04090 Phone: 978-502-5508
Sandhya Joy Shanley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Bragdon Rd, Wells, ME 04090 Phone: 207-504-0988

Samuel Clark, FNP - Medicare Nurse Practitioner in Wells, ME