Sara Jessanne Lark, FNP in Raton, NM - Medicare Nurse Practitioner

Sara Jessanne Lark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Raton, New Mexico. Her current practice location is 203 Hospital Dr, Raton, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 445-7771.

Sara Jessanne Lark is licensed to practice in New Mexico (license number 59889) 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 1013545110.

Contact Information

	Sara Jessanne Lark, FNP
	203 Hospital Dr, Raton, NM 87740-2012
	(575) 445-7771
	(575) 445-7742

Map and Direction

Provider's Profile

Full Name	Sara Jessanne Lark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	203 Hospital Dr, Raton, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013545110
Provider Enumeration Date: 04/01/2020
Last Update Date: 04/01/2020

Medicare PECOS Information:

PECOS PAC ID: 6103244470
Enrollment ID: I20200918000176

Medical Identifiers

Medical identifiers for Sara Jessanne Lark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013545110	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	59889 (New Mexico)	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. Sara Jessanne Lark allows following entities to bill medicare on her behalf.

Entity Name	Miners' Colfax Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20031105000106

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. Sara Jessanne Lark 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
Sara Jessanne Lark, FNP 203 Hospital Dr, Raton, NM 87740-2012 Ph: (575) 445-7771	Sara Jessanne Lark, FNP 203 Hospital Dr, Raton, NM 87740-2012 Ph: (575) 445-7771

Reviews and Comments

Nurse Practitioner Nurses in Raton, NM

Aileen C Swope, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 166 Hospital Dr, Raton, NM 87740 Phone: 575-445-3626 Fax: 877-592-0809
Ms. Marsha Ann Moore, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 142 S 1st St, Raton, NM 87740 Phone: 575-445-2753 Fax: 575-445-2759
Amy Charlene Ford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 Hospital Dr, Raton, NM 87740 Phone: 575-445-5563
Pamela Ammons, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 166 Hospital Dr, Raton, NM 87740 Phone: 575-445-3626 Fax: 877-559-2708
Laurel Escano Laurel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 203 Hospital Dr, Raton, NM 87740 Phone: 575-445-3661 Fax: 575-445-7737

Sara Jessanne Lark, FNP - Medicare Nurse Practitioner in Raton, NM