Sarah Lynn Clark, FNP in Shakopee, MN - Medicare Nurse Practitioner

Sarah Lynn Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Shakopee, Minnesota. Her current practice location is 4050 Dean Lakes Blvd, Shakopee, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 402-9039.

Sarah Lynn Clark is licensed to practice in Minnesota (license number 9669) 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 1205446077.

Contact Information

	Sarah Lynn Clark, FNP
	4050 Dean Lakes Blvd, Shakopee, MN 55379-2714
	(952) 402-9039
	Not Available

Map and Direction

Provider's Profile

Full Name	Sarah Lynn Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4050 Dean Lakes Blvd, Shakopee, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205446077
Provider Enumeration Date: 08/05/2020
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 8628434255
Enrollment ID: I20230523003131

Medical Identifiers

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

Identifier	Type	State	Issuer
1205446077	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95014762 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	9669 (Minnesota)	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. Sarah Lynn Clark allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Minnesota Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407227945 PECOS PAC ID: 7810289949 Enrollment ID: O20160712000184

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. Sarah Lynn 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
Sarah Lynn Clark, FNP 4050 Dean Lakes Blvd, Shakopee, MN 55379-2714 Ph: (952) 402-9039	Sarah Lynn Clark, FNP 4050 Dean Lakes Blvd, Shakopee, MN 55379-2714 Ph: (952) 402-9039

Reviews and Comments

Nurse Practitioner Nurses in Shakopee, MN

Lauren Benolkin, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379 Phone: 952-428-3535
Manisha Dharmesh Shah, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2008 Wilhelm Court, Shakopee, MN 55379 Phone: 952-457-4502
Mrs. Toni Rhonda Cam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4050 Dean Lakes Blvd, Shakopee, MN 55379 Phone: 866-389-2727
Couzue F Karbbar, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8170 Old Carriage Ct Ste 100, Shakopee, MN 55379 Phone: 952-428-3600
Ms. Phoebe Nyabando, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 904 Princeton Ave, Shakopee, MN 55379 Phone: 612-940-5651
Leslie Walters, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8170 Old Carriage Ct Ste 100, Shakopee, MN 55379 Phone: 952-428-3600 Fax: 952-428-3636

Sarah Lynn Clark, FNP - Medicare Nurse Practitioner in Shakopee, MN