Tracy A Clark, ARNP in Shawnee, KS - Medicare Nurse Practitioner

Tracy A Clark, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Shawnee, Kansas. Her current practice location is 21624 Midland Dr, Shawnee, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 643-0075.

Tracy A Clark is licensed to practice in Kansas (license number 45920) 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 1598778854.

Contact Information

	Tracy A Clark, ARNP
	21624 Midland Dr, Shawnee, KS 66218-9064
	(913) 643-0075
	(913) 643-0077

Map and Direction

Provider's Profile

Full Name	Tracy A Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	21624 Midland Dr, Shawnee, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598778854
Provider Enumeration Date: 08/15/2006
Last Update Date: 01/04/2018

Medicare PECOS Information:

PECOS PAC ID: 6901801109
Enrollment ID: I20060921000425

Medical Identifiers

Medical identifiers for Tracy A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598778854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	45920 (Kansas)	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. Tracy A Clark allows following entities to bill medicare on her behalf.

Entity Name	Saint Lukes Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20050302000266

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. Tracy 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 Address	Practice Location Address
Tracy A Clark, ARNP 901 E 104th St, Ms 400s, Kansas City, MO 64131 Ph: (816) 502-8752	Tracy A Clark, ARNP 21624 Midland Dr, Shawnee, KS 66218-9064 Ph: (913) 643-0075

Reviews and Comments

Nurse Practitioner Nurses in Shawnee, KS

Marta Beshe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5818 Theden St, Shawnee, KS 66218 Phone: 913-271-9429
Stephanie Ann Ho, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22104 W 51st Ter, Shawnee, KS 66226 Phone: 785-979-3047
Mrs. Stefani Lim, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10824 Shawnee Mission Parkway, Shawnee, KS 66203 Phone: 913-297-7472 Fax: 913-248-7631
Wesley Howard Thompson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7230 Renner Rd, Shawnee, KS 66217 Phone: 913-962-2122
Marisa Lynn Burdolski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5900 Nieman Rd Ste 300, Shawnee, KS 66203 Phone: 913-515-7859 Fax: 877-569-3050
Jennifer Sue Terrien, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7450 Quivira Rd, Shawnee, KS 66216 Phone: 913-706-2508
Bethelem Wondimu Bedasso, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7450 Quivira Rd, Shawnee, KS 66216 Phone: 913-706-2508

Tracy A Clark, ARNP - Medicare Nurse Practitioner in Shawnee, KS