Jennifer Mary Joy Clark, FNP-BC - Medicare Nurse Practitioner in Troy, IL

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Jennifer Mary Joy Clark, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Troy, Illinois. Her current practice location is 8308 Burlington Dr, Troy, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 410-5317.

Jennifer Mary Joy Clark is licensed to practice in Illinois (license number 209023558) 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 1013686203.

Contact Information

Jennifer Mary Joy Clark, FNP-BC
8308 Burlington Dr,
Troy, IL 62294-4003
(618) 410-5317
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Mary Joy Clark
GenderFemale
SpecialityNurse Practitioner - Family
Location8308 Burlington Dr, Troy, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013686203
  • Provider Enumeration Date: 09/10/2021
  • Last Update Date: 09/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0749679850
  • Enrollment ID: I20211111000509

Medical Identifiers

Medical identifiers for Jennifer Mary Joy Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013686203NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209023558 (Illinois)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. Jennifer Mary Joy Clark allows following entities to bill medicare on her behalf.
Entity NameGranite City Illinois Hospital Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417353087
PECOS PAC ID: 2668389438
Enrollment ID: O20150325001334
Entity NameGranite City Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669926424
PECOS PAC ID: 8527356591
Enrollment ID: O20161006000282
Entity NameGranite City Emergency Medicine Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861946626
PECOS PAC ID: 7012205784
Enrollment ID: O20161012001300
Entity NameTrinity Medical Staffing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770103426
PECOS PAC ID: 1759712698
Enrollment ID: O20200511000598
Entity NameMidwest Emergency Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710647615
PECOS PAC ID: 8022401256
Enrollment ID: O20220210000357
Entity NameMidwest Inpatient Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821758608
PECOS PAC ID: 3072908474
Enrollment ID: O20220322002045
Entity NameAhs Il Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659098101
PECOS PAC ID: 5496111676
Enrollment ID: O20230512001300

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. Jennifer Mary Joy 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
Jennifer Mary Joy Clark, FNP-BC
8308 Burlington Dr,
Troy, IL 62294-4003

Ph: (618) 410-5317		Jennifer Mary Joy Clark, FNP-BC
8308 Burlington Dr,
Troy, IL 62294-4003

Ph: (618) 410-5317

Reviews and Comments


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Phone: 618-530-5079    Fax: 618-844-5021

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.