Scott D Clark, ANP in Buffalo, NY - Medicare Nurse Practitioner

Scott D Clark, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Buffalo, New York. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sisters Of Charity Hospital Of Buffalo New York, Buffalo Medical Group, P.c., Mercy Hospital Of Buffalo and his current practice location is 462 Grider St, Exigence Hospitalist Of Team Health, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 898-6995.

Scott D Clark is licensed to practice in New York (license number F3043261) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396719605.

Contact Information

	Scott D Clark, ANP
	462 Grider St, Exigence Hospitalist Of Team Health, Buffalo, NY 14215-3021
	(716) 898-6995
	Not Available

Map and Direction

Provider's Profile

Full Name	Scott D Clark
Gender	Male
Speciality	Nurse Practitioner
Experience	19 Years
Location	462 Grider St, Buffalo, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Scott D Clark graduated from nursing school in 2005

NPI Data:

NPI Number: 1396719605
Provider Enumeration Date: 02/14/2006
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 6901800598
Enrollment ID: I20060913000444

Medical Identifiers

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

Identifier	Type	State	Issuer
1396719605	NPI	-	NPPES
P00468024	Other		MEDICARE RAILROAD
9513263	Other		INDEPENT HEALTH
00027596001	Other		UNIVERA
000528561001	Other		BLUE CROSS
02772021	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F3043261 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaleida Health	Buffalo, NY	Hospital
Sisters Of Charity Hospital	Buffalo, NY	Hospital
Mercy Hospital Of Buffalo	Buffalo, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sisters Of Charity Hospital Of Buffalo New York	6204749153	106
Buffalo Medical Group, P.c.	7012820301	237
Mercy Hospital Of Buffalo	8729991666	158

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. Scott D Clark allows following entities to bill medicare on his behalf.

Entity Name	Kaleida Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366473183 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212

Entity Name	Buffalo Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881659506 PECOS PAC ID: 7012820301 Enrollment ID: O20031112000213

Entity Name	Sisters Of Charity Hospital Of Buffalo New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790727543 PECOS PAC ID: 6204749153 Enrollment ID: O20031126000557

Entity Name	Mount St. Marys Hospital Of Niagara Falls
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043394745 PECOS PAC ID: 4082523790 Enrollment ID: O20040403000031

Entity Name	Mercy Hospital Of Buffalo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164464921 PECOS PAC ID: 8729991666 Enrollment ID: O20040702001253

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. Scott D 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
Scott D Clark, ANP 462 Grider Street, Exigence Hospitalist Of Team Health, Buffalo, NY 14215 Ph: (716) 898-6995	Scott D Clark, ANP 462 Grider St, Exigence Hospitalist Of Team Health, Buffalo, NY 14215-3021 Ph: (716) 898-6995

Reviews and Comments

Nurse Practitioner Nurses in Buffalo, NY

Mr. V. Thomas Chapin, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3000
Beth Lyn Vaccarelli, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450
Ms. Denise Marie Donahue, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 High St, Buffalo, NY 14203 Phone: 716-859-5600
Mr. Jerry L Corp Ii, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Delaware Ave, Buffalo, NY 14202 Phone: 716-884-0888
Stephanie Erin Myszka, F.N.P.- BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300
Jessica Lynn Hafezi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton Streets, Buffalo, NY 14263 Phone: 716-845-2300
Yevgeniya S Lipina, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450 Fax: 844-206-7424

Scott D Clark, ANP - Medicare Nurse Practitioner in Buffalo, NY