Zaccardo K Clark, NP in Austell, GA - Medicare Nurse Practitioner

Zaccardo K Clark, NP is a medicare enrolled "Nurse Practitioner" in Austell, Georgia. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wellstreet Of Georgia Pc and his current practice location is 3950 Austell Rd, Austell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 732-3800.

Zaccardo K Clark is licensed to practice in Georgia (license number RN231360) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336581636.

Contact Information

	Zaccardo K Clark, NP
	3950 Austell Rd, Austell, GA 30106-1121
	(770) 732-3800
	Not Available

Map and Direction

Provider's Profile

Full Name	Zaccardo K Clark
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	3950 Austell Rd, Austell, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Zaccardo K Clark graduated from nursing school in 2013

NPI Data:

NPI Number: 1336581636
Provider Enumeration Date: 07/27/2013
Last Update Date: 07/27/2013

Medicare PECOS Information:

PECOS PAC ID: 5193968683
Enrollment ID: I20130903000159

Medical Identifiers

Medical identifiers for Zaccardo K Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336581636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN231360 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstreet Of Georgia Pc	7517126279	384

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. Zaccardo K Clark allows following entities to bill medicare on his behalf.

Entity Name	South Fulton Emergency Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821043787 PECOS PAC ID: 5294708715 Enrollment ID: O20040813000595

Entity Name	The Bortolazzo Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015

Entity Name	Wellstreet Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603

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. Zaccardo K 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
Zaccardo K Clark, NP 5665 New Northside Dr, Suite 320, Atlanta, GA 30328-5831 Ph: (770) 874-5468	Zaccardo K Clark, NP 3950 Austell Rd, Austell, GA 30106-1121 Ph: (770) 732-3800

Reviews and Comments

Nurse Practitioner Nurses in Austell, GA

Mrs. Kelsey Irene Fortier, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 Mulkey Rd, Suite 220, Austell, GA 30106 Phone: 470-956-3760
Manuel Piri, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1676 Mulkey Rd, Suite A, Austell, GA 30106 Phone: 678-838-6600 Fax: 678-838-6602
Ms. Kristin L Faine, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 E West Connector, Austell, GA 30106 Phone: 770-438-1680
Shawn Michael Kade, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd Ste 202, Austell, GA 30106 Phone: 770-694-6349
Takiyah Johnson Turks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1625 Hospital North Dr Ste 150, Austell, GA 30106 Phone: 470-732-6950 Fax: 770-739-0138
Elizabeth Bilfinger Hill, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3825 Medical Park Dr Ste 100, Austell, GA 30106 Phone: 770-948-5578
Mrs. Emily Jane Tackett, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 470-732-5201 Fax: 470-792-5209

Zaccardo K Clark, NP - Medicare Nurse Practitioner in Austell, GA