Desa Mariah Clark, APRN in Fremont, NE - Medicare Nurse Practitioner

Desa Mariah Clark, APRN is a medicare enrolled "Nurse Practitioner - Family" in Fremont, Nebraska. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Methodist Fremont Health and her current practice location is 2560 N Healthy Way, Fremont, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 941-7245.

Desa Mariah Clark is licensed to practice in Nebraska (license number 113657) 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 1215519814.

Contact Information

	Desa Mariah Clark, APRN
	2560 N Healthy Way, Fremont, NE 68025-2315
	(402) 941-7245
	Not Available

Map and Direction

Provider's Profile

Full Name	Desa Mariah Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	2560 N Healthy Way, Fremont, Nebraska
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Desa Mariah Clark graduated from nursing school in 2021

NPI Data:

NPI Number: 1215519814
Provider Enumeration Date: 04/22/2021
Last Update Date: 07/07/2021

Medicare PECOS Information:

PECOS PAC ID: 2466854591
Enrollment ID: I20210713001295

Medical Identifiers

Medical identifiers for Desa Mariah Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215519814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	64709 (Nebraska)	Secondary
363LF0000X	Nurse Practitioner - Family	113657 (Nebraska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Methodist Fremont Health	7911258520	67

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. Desa Mariah Clark allows following entities to bill medicare on her behalf.

Entity Name	Methodist Fremont Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235618216 PECOS PAC ID: 7911258520 Enrollment ID: O20181017000110

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. Desa Mariah 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
Desa Mariah Clark, APRN 605 E Thomsen St, Fremont, NE 68025-9235 Ph: (402) 317-0797	Desa Mariah Clark, APRN 2560 N Healthy Way, Fremont, NE 68025-2315 Ph: (402) 941-7245

Reviews and Comments

Nurse Practitioner Nurses in Fremont, NE

Emily Nicole Johnson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 E 29th St, Fremont, NE 68025 Phone: 402-753-2900
Claire Montoya, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 W 23rd St, Fremont, NE 68025 Phone: 402-721-7077 Fax: 402-721-7324
Zachary Beerman, APRN (PMHNP) Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2560 N Healthy Way, Fremont, NE 68025 Phone: 402-941-7245
Mrs. Kimberly D Mueller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 E 23rd St, Fremont, NE 68025 Phone: 402-815-9741
Amanda Nicole Esterling, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 E 22nd St, Fremont, NE 68025 Phone: 402-727-5500 Fax: 402-727-6047
Megan Grote, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E 23rd St, Fremont, NE 68025 Phone: 402-941-7030 Fax: 402-941-7032
Amber Christine Juricek, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 680 E Fremont Medical Park Dr, Fremont, NE 68025 Phone: 402-727-1091

Desa Mariah Clark, APRN - Medicare Nurse Practitioner in Fremont, NE