Ericka Clark, FNP-C in Glen Burnie, MD - Medicare Nurse Practitioner

Ericka Clark, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Glen Burnie, Maryland. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Matclinic Physicians Practice Group Llc, Matclinic Physicians Practice Group Llc and her current practice location is 1600 Crain Hwy S Ste 301, Glen Burnie, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 787-8315.

Ericka Clark is licensed to practice in Maryland (license number AC005986) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1558842930.

Contact Information

	Ericka Clark, FNP-C
	1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061-6446
	(410) 787-8315
	Not Available

Map and Direction

Provider's Profile

Full Name	Ericka Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1600 Crain Hwy S Ste 301, Glen Burnie, Maryland
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ericka Clark graduated from nursing school in 2018

NPI Data:

NPI Number: 1558842930
Provider Enumeration Date: 08/23/2018
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 4688926991
Enrollment ID: I20181016000645

Medical Identifiers

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

Identifier	Type	State	Issuer
1558842930	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11017507 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	AC005986 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Matclinic Physicians Practice Group Llc	3274804349	17
Matclinic Physicians Practice Group Llc	3274804349	17

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. Ericka Clark allows following entities to bill medicare on her behalf.

Entity Name	University Of Maryland Community Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687

Entity Name	Center For Pain Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962463265 PECOS PAC ID: 0547246555 Enrollment ID: O20040629000496

Entity Name	Matclinic Physicians Practice Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104375294 PECOS PAC ID: 3274804349 Enrollment ID: O20170808001490

Entity Name	Pursuecare Connecticut Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003443185 PECOS PAC ID: 8224469606 Enrollment ID: O20220308000711

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. Ericka 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
Ericka Clark, FNP-C 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061-6446 Ph: (410) 787-8315	Ericka Clark, FNP-C 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061-6446 Ph: (410) 787-8315

Reviews and Comments

Nurse Practitioner Nurses in Glen Burnie, MD

Ms. Docia Owusu, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 E Howard Rd, Glen Burnie, MD 21060 Phone: 410-768-8200
Marlowe Ann Driscoll, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7671 Quarterfield Rd Ste 301, Glen Burnie, MD 21061 Phone: 855-527-7246 Fax: 866-229-5063
Jesse Okonigbo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Warwickshire Ln, Apt E, Glen Burnie, MD 21061 Phone: 302-382-7248
Mrs. Theresa Eileen Deveaux, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-553-8300 Fax: 410-553-8349
Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134
Mary Bourbon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Phone: 410-768-5050
Christine Marie Habersaat, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061 Phone: 410-582-9434

Ericka Clark, FNP-C - Medicare Nurse Practitioner in Glen Burnie, MD