Terri Jo Clark, NP in Vidor, TX - Medicare Nurse Practitioner

Terri Jo Clark, NP is a medicare enrolled "Nurse Practitioner - Family" in Vidor, Texas. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Psychiatric Services Of Houston And Associates I, Pllc and her current practice location is 2353 N Main St, Vidor, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 813-1677.

Terri Jo Clark is licensed to practice in Texas (license number AP132041) 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 1770035966.

Contact Information

	Terri Jo Clark, NP
	2353 N Main St, Vidor, TX 77662-2610
	(409) 813-1677
	Not Available

Map and Direction

Provider's Profile

Full Name	Terri Jo Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	2353 N Main St, Vidor, Texas
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:

Terri Jo Clark graduated from nursing school in 2016

NPI Data:

NPI Number: 1770035966
Provider Enumeration Date: 11/04/2016
Last Update Date: 08/27/2019

Medicare PECOS Information:

PECOS PAC ID: 8527340637
Enrollment ID: I20170126000046

Medical Identifiers

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

Identifier	Type	State	Issuer
1770035966	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP132041 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Jasper Memorial Hospital	Jasper, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Psychiatric Services Of Houston And Associates I, Pllc	4486827391	12

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. Terri Jo Clark allows following entities to bill medicare on her behalf.

Entity Name	Psychiatric Services Of Houston And Associates I, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487940599 PECOS PAC ID: 4486827391 Enrollment ID: O20111109000083

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. Terri Jo 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
Terri Jo Clark, NP 288 Country Lane Dr, Lumberton, TX 77657-6804 Ph: (409) 813-1677	Terri Jo Clark, NP 2353 N Main St, Vidor, TX 77662-2610 Ph: (409) 813-1677

Reviews and Comments

Nurse Practitioner Nurses in Vidor, TX

Wendi Ellen Ames, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2353 N Main St, Vidor, TX 77662 Phone: 409-813-1677 Fax: 409-422-4997
Crystal Young, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2353 N Main St, Vidor, TX 77662 Phone: 409-813-1677
Jessica Miller Baker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1225 Forest Ln, Vidor, TX 77662 Phone: 114-096-7389
Leann Holloway, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1105 N Main St, Vidor, TX 77662 Phone: 409-422-4801
Heather Butler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 274 Lakeview Rd, Vidor, TX 77662 Phone: 936-465-8979
Chelsi Renee Clayton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 S Archie St, Vidor, TX 77662 Phone: 409-769-2295

Terri Jo Clark, NP - Medicare Nurse Practitioner in Vidor, TX