Dr Thayer A Clark, DNP - Medicare Nurse Practitioner in Thomaston, CT

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Dr Thayer A Clark, DNP is a medicare enrolled "Nurse Practitioner - Family" in Thomaston, Connecticut. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hartford Healthcare Medical Group Inc and her current practice location is 76 Watertown Rd Ste 2f, Thomaston, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 880-8091.

Dr Thayer A Clark is licensed to practice in Connecticut (license number 7667) 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 1477052157.

Contact Information

Dr Thayer A Clark, DNP
76 Watertown Rd Ste 2f,
Thomaston, CT 06787-1826
(860) 880-8091
Not Available

Map and Direction




Provider's Profile

Full NameDr Thayer A Clark
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location76 Watertown Rd Ste 2f, Thomaston, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Thayer A Clark graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1477052157
  • Provider Enumeration Date: 02/07/2018
  • Last Update Date: 06/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1557610482
  • Enrollment ID: I20180824002571

Medical Identifiers

Medical identifiers for Dr Thayer A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477052157NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 7667 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Healthcare Medical Group Inc1153573902220

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. Dr Thayer A Clark allows following entities to bill medicare on her behalf.
Entity NameThe Charlotte Hungerford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629075734
PECOS PAC ID: 4486557501
Enrollment ID: O20040128000183
Entity NameHartford Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561301
PECOS PAC ID: 1153573902
Enrollment ID: O20121201000007

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. Dr Thayer A 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 AddressPractice Location Address
Dr Thayer A Clark, DNP
20 Essex Ln,
Woodbury, CT 06798-2600

Ph: (203) 232-2017		Dr Thayer A Clark, DNP
76 Watertown Rd Ste 2f,
Thomaston, CT 06787-1826

Ph: (860) 880-8091

Reviews and Comments


Nurse Practitioner Nurses in Thomaston, CT

Siena Giordano, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 76 Watertown Rd, Thomaston, CT 06787
Phone: 860-880-8091    
Desiree Lynn Lavery, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 205 S Main St, Thomaston, CT 06787
Phone: 860-283-6255    
Chelsey Ann Shaban, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 205 S Main St, Thomaston, CT 06787
Phone: 860-283-6255    
Dr. Pamela M Cipriano, DNP, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 131 Main St, Suite 101a, Thomaston, CT 06787
Phone: 860-880-2525    Fax: 860-880-8253

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.