Tabitha Rynn Clark, CNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Arthurdale, West Virginia. Her current practice location is
519 G Road, Arthurdale, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 864-0884.
Tabitha Rynn Clark is licensed to practice in West Virginia (license number 112519) 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 1124762695.
Provider's Profile
Full Name | Tabitha Rynn Clark |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Primary Care |
---|
Location | 519 G Road, Arthurdale, West Virginia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124762695
- Provider Enumeration Date: 04/21/2022
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 9436680790
- Enrollment ID: I20241122000358
Medical Identifiers
Medical identifiers for Tabitha Rynn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124762695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | 112519 (West Virginia) | 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. Tabitha Rynn Clark allows following entities to bill medicare on her behalf.
Entity Name | Hospice Care Corporation |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1316081128 PECOS PAC ID: 3274636238 Enrollment ID: O20190219003065 |
---|
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. Tabitha Rynn 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 |
Tabitha Rynn Clark, CNP 110 Williams St, Kingwood, WV 26537-1229 Ph: () - | Tabitha Rynn Clark, CNP 519 G Road, Arthurdale, WV 26520 Ph: (304) 864-0884 |
Reviews and Comments