Tia A Clark, APRN, FNP-C - Medicare Nurse Practitioner in Murray, KY

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Tia A Clark, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Murray, Kentucky. Her current practice location is 1313 Johnson Blvd, Murray, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 917-1401.

Tia A Clark is licensed to practice in Kentucky (license number 4014647) 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 1912769290.

Contact Information

Tia A Clark, APRN, FNP-C
1313 Johnson Blvd,
Murray, KY 42071-2925
(270) 917-1401
Not Available

Map and Direction




Provider's Profile

Full NameTia A Clark
GenderFemale
SpecialityNurse Practitioner - Family
Location1313 Johnson Blvd, Murray, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912769290
  • Provider Enumeration Date: 01/23/2024
  • Last Update Date: 03/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820436488
  • Enrollment ID: I20240402003825

Medical Identifiers

Medical identifiers for Tia A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912769290NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 4014647 (Kentucky)Secondary
363LF0000XNurse Practitioner - Family 4014647 (Kentucky)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. Tia A Clark allows following entities to bill medicare on her behalf.
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210209002652
Entity NameAligned Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194479774
PECOS PAC ID: 1850787615
Enrollment ID: O20220404000420

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. Tia 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
Tia A Clark, APRN, FNP-C
1313 Johnson Blvd,
Murray, KY 42071-2925

Ph: (270) 917-1401		Tia A Clark, APRN, FNP-C
1313 Johnson Blvd,
Murray, KY 42071-2925

Ph: (270) 917-1401

Reviews and Comments


Nurse Practitioner Nurses in Murray, KY

Mrs. Martha Lyn Ryan, ARNP
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Phone: 270-753-0704    Fax: 270-752-2852
Ms. Karen A Bailey, APRN
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Mariah L Hamby, FNP
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Jennifer C Hudgin, APRN
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Amy Grogan,
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Sarah Lashae Petty, APRN
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Practice Location: 300 S 8th St Ste 480w, Murray, KY 42071
Phone: 270-753-0704    Fax: 270-752-2852

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.