Terri Marie Clack, PMHNP-BC in Weymouth, MA - Medicare Nurse Practitioner

Terri Marie Clack, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Weymouth, Massachusetts. Her current practice location is 169 Libbey Industrial Pkwy, Weymouth, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 551-0999.

Terri Marie Clack is licensed to practice in Massachusetts (license number RN2362195) 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 1487169173.

Contact Information

	Terri Marie Clack, PMHNP-BC
	169 Libbey Industrial Pkwy, Weymouth, MA 02189-3189
	(781) 551-0999
	Not Available

Map and Direction

Provider's Profile

Full Name	Terri Marie Clack
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	169 Libbey Industrial Pkwy, Weymouth, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487169173
Provider Enumeration Date: 12/05/2017
Last Update Date: 04/05/2022

Medicare PECOS Information:

PECOS PAC ID: 0143579086
Enrollment ID: I20180825000126

Medical Identifiers

Medical identifiers for Terri Marie Clack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487169173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN214255 (Georgia)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	RN214255 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2362195 (Massachusetts)	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. Terri Marie Clack allows following entities to bill medicare on her behalf.

Entity Name	Hmv Diagnostics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043460744 PECOS PAC ID: 8123172020 Enrollment ID: O20100224000575

Entity Name	United Psychology Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063704542 PECOS PAC ID: 0648424796 Enrollment ID: O20130125000418

Entity Name	Georgia Palliative Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295290450 PECOS PAC ID: 9537492137 Enrollment ID: O20190613002834

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 Marie Clack 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 Marie Clack, PMHNP-BC 169 Libbey Pkwy, Weymouth, MA 02189-3189 Ph: (781) 474-5287	Terri Marie Clack, PMHNP-BC 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3189 Ph: (781) 551-0999

Reviews and Comments

Nurse Practitioner Nurses in Weymouth, MA

Donna J Hudson-bryant, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, Weymouth, MA 02190 Phone: 781-624-8000
Rachel Jeanne Burbine, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1085 Main St, Weymouth, MA 02190 Phone: 781-331-2922
Lynne C Smith, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 Libbey Industrial Pkwy, Weymouth, MA 02189 Phone: 781-682-5900 Fax: 781-331-1763
Robyn Kinsherf, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, Weymouth, MA 02190 Phone: 781-624-8000
Patricia Dunn, RN APN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19 Center St, Weymouth, MA 02189 Phone: 781-337-1778 Fax: 781-337-1778
Alicia Van Cott, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189 Phone: 781-335-9700 Fax: 781-335-9709
Ms. Leslie Anne Frodema, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 571 Main St Fl 1, Weymouth, MA 02190 Phone: 617-773-9198 Fax: 617-769-9952

Terri Marie Clack, PMHNP-BC - Medicare Nurse Practitioner in Weymouth, MA