Timetra Diane Clark, FNP-BC - Medicare in Chicago, IL

Timetra Diane Clark, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. Her current practice location is 1401 E 55th St Apt 905n, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 759-3112.

Timetra Diane Clark is licensed to practice in Illinois (license number 209024791) 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 1316687650.

Contact Information

Timetra Diane Clark, FNP-BC
1401 E 55th St Apt 905n,
Chicago, IL 60615-5468
(708) 759-3112
Not Available

Map and Direction




Provider's Profile

Full NameTimetra Diane Clark
GenderFemale
Speciality
Experience Years
Location1401 E 55th St Apt 905n, Chicago, Illinois
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:
  • Timetra Diane Clark attended and graduated from in
  NPI Data:
  • NPI Number: 1316687650
  • Provider Enumeration Date: 04/01/2022
  • Last Update Date: 04/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Timetra Diane Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316687650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WN0300XRegistered Nurse - Nephrology 041436444 (Illinois)Secondary
163WN0300XRegistered Nurse - Nephrology 9562544 (Florida)Secondary
363L00000XNurse Practitioner 209024791 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209024791 (Illinois)Primary

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. Timetra Diane 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
Timetra Diane Clark, FNP-BC
1401 E 55th St Apt 905n,
Chicago, IL 60615-5468

Ph: (708) 759-3112
Timetra Diane Clark, FNP-BC
1401 E 55th St Apt 905n,
Chicago, IL 60615-5468

Ph: (708) 759-3112

Reviews and Comments


Nurse Practitioner Nurses in Chicago, IL

Mr. Gerald M. Bedore, APN/CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612
Phone: 312-996-7420    Fax: 312-413-8485
Stacy Ervin, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 401 N Michigan Ave, Chicago, IL 60611
Phone: 866-825-3227    
Angela Obondo Peterson, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 259 E Erie St Fl 17, Chicago, IL 60611
Phone: 312-926-6000    Fax: 312-926-0516
Katherine Cappitelli, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611
Phone: 312-472-4218    
Juliet Ibanez Panambo Kantoff, AGPCNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611
Phone: 312-635-0973    
Catherine L Chung, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2142 S Archer Ave, Chicago, IL 60616
Phone: 312-326-1408    
Tricia Muir, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 850 W Irving Park Rd, Chicago, IL 60613
Phone: 773-525-6780    

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.