Stephanie Clark, NP in Poplar Bluff, MO - Medicare Nurse Practitioner

Stephanie Clark, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Poplar Bluff, Missouri. Her current practice location is 1500 N Westwood Blvd, Poplar Bluff, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 686-4151.

Stephanie Clark is licensed to practice in Iowa (license number G170123) 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 1851795595.

Contact Information

	Stephanie Clark, NP
	1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318
	(573) 686-4151
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Clark
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1500 N Westwood Blvd, Poplar Bluff, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851795595
Provider Enumeration Date: 10/09/2014
Last Update Date: 12/02/2022

Medicare PECOS Information:

PECOS PAC ID: 2567828346
Enrollment ID: I20230522000246

Medical Identifiers

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

Identifier	Type	State	Issuer
1851795595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2011004525 (Missouri)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2022026857 (Missouri)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	G170123 (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 Clark allows following entities to bill medicare on her behalf.

Entity Name	Mcpherson Medical & Diagnostic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003407883 PECOS PAC ID: 5698773539 Enrollment ID: O20061201000167

Entity Name	Cape Girardeau Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700485281 PECOS PAC ID: 8022423649 Enrollment ID: O20210507002378

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 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 Clark, NP 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 Ph: (573) 686-4151	Stephanie Clark, NP 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 Ph: (573) 686-4151

Reviews and Comments

Nurse Practitioner Nurses in Poplar Bluff, MO

Jamie Lynn Morse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2588 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-1277 Fax: 573-778-1299
Alicia Marie Cisne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599
Jessica Nicole Mccain, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-776-2835 Fax: 573-776-2763
Wanda R Shewmon, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2210 Barron Rd, Poplar Bluff, MO 63901 Phone: 573-686-4133 Fax: 573-686-1315
Ms. Jolene M Wolf, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4151
Rebecca Compton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599
Shelly Y Gresham, RNC-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2480 Three Rivers Blvd, Poplar Bluff, MO 63901 Phone: 573-686-5564 Fax: 573-686-2838

Stephanie Clark, NP - Medicare Nurse Practitioner in Poplar Bluff, MO