Shonda T Clark, NP in Chicago, IL - Medicare Nurse Practitioner

Shonda T Clark, NP is a medicare enrolled "Nurse Practitioner" in Chicago, Illinois. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Texas Stroke Center, Pllc and her current practice location is 5841 S Maryland Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 702-3844.

Shonda T Clark is licensed to practice in Illinois (license number 209011572) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114308251.

Contact Information

	Shonda T Clark, NP
	5841 S Maryland Ave, Chicago, IL 60637-1447
	(773) 702-3844
	Not Available

Map and Direction

Provider's Profile

Full Name	Shonda T Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	5841 S Maryland Ave, Chicago, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shonda T Clark graduated from nursing school in 2012

NPI Data:

NPI Number: 1114308251
Provider Enumeration Date: 06/15/2015
Last Update Date: 09/24/2021

Medicare PECOS Information:

PECOS PAC ID: 5890003305
Enrollment ID: I20210924001671

Medical Identifiers

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

Identifier	Type	State	Issuer
1114308251	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1018533 (Texas)	Secondary
363L00000X	Nurse Practitioner	209011572 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Texas Stroke Center, Pllc	6709927528	13

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. Shonda T Clark allows following entities to bill medicare on her behalf.

Entity Name	North Texas Stroke Center, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851624027 PECOS PAC ID: 6709927528 Enrollment ID: O20091230000483

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. Shonda T 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
Shonda T Clark, NP 1600 Coit Rd Ste 104, Plano, TX 75075-6171 Ph: (972) 566-5411	Shonda T Clark, NP 5841 S Maryland Ave, Chicago, IL 60637-1447 Ph: (773) 702-3844

Reviews and Comments

Nurse Practitioner Nurses in Chicago, IL

Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485
Stacy Ervin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227
Angela Obondo Peterson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Fl 17, Chicago, IL 60611 Phone: 312-926-6000 Fax: 312-926-0516
Katherine Cappitelli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611 Phone: 312-472-4218
Juliet Ibanez Panambo Kantoff, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611 Phone: 312-635-0973
Catherine L Chung, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2142 S Archer Ave, Chicago, IL 60616 Phone: 312-326-1408
Tricia Muir, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-525-6780

Shonda T Clark, NP - Medicare Nurse Practitioner in Chicago, IL