Stephanie Y Clark, CPNP in Johnston, IA - Medicare Nurse Practitioner

Stephanie Y Clark, CPNP is a medicare enrolled "Nurse Practitioner" in Johnston, Iowa. Her current practice location is 8605 Chambery Blvd, Johnston, Iowa. You can reach out to her office (for appointments etc.) via phone at (262) 227-4860.

Stephanie Y Clark is licensed to practice in Iowa (license number C171547) 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 1255049409.

Contact Information

	Stephanie Y Clark, CPNP
	8605 Chambery Blvd, Johnston, IA 50131-8821
	(262) 227-4860
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Y Clark
Gender	Female
Speciality	Nurse Practitioner
Location	8605 Chambery Blvd, Johnston, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255049409
Provider Enumeration Date: 11/07/2022
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1557733110
Enrollment ID: I20230207003031

Medical Identifiers

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

Identifier	Type	State	Issuer
1255049409	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	C171547 (Iowa)	Secondary
363L00000X	Nurse Practitioner	C171547 (Iowa)	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. Stephanie Y Clark allows following entities to bill medicare on her behalf.

Entity Name	State University Of Iowa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060

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. Stephanie Y 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
Stephanie Y Clark, CPNP 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: () -	Stephanie Y Clark, CPNP 8605 Chambery Blvd, Johnston, IA 50131-8821 Ph: (262) 227-4860

Reviews and Comments

Nurse Practitioner Nurses in Johnston, IA

Sarah Michelle Fees, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8605 Chambery Blvd, Johnston, IA 50131 Phone: 515-457-2960 Fax: 515-457-2961
Haley Lynn Kloberdanz, ARNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5408 Nw 88th St Ste 140, Johnston, IA 50131 Phone: 515-368-7504 Fax: 515-355-3491
Hilliary Mahler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5408 Nw 88th St Ste 140, Johnston, IA 50131 Phone: 515-368-7504 Fax: 515-355-3491
Amber Lynn Anderson, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8101 Birchwood Ct Unit N, Johnston, IA 50131 Phone: 515-471-9200
Alyssa Coughennower, ARNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5408 Nw 88th St Ste 140, Johnston, IA 50131 Phone: 515-212-3600
Mrs. Maria Anne Johnson, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5406 Merle Hay Rd, Johnston, IA 50131 Phone: 515-971-4648

Stephanie Y Clark, CPNP - Medicare Nurse Practitioner in Johnston, IA