Mandy Clark, APRN - Medicare Nurse Practitioner in Springdale, AR

Mandy Clark, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Springdale, Arkansas. Her current practice location is 614 E Emma Ave Ste 300, Springdale, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 751-7417.

Mandy Clark is licensed to practice in Arkansas (license number A006213) 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 1104426261.

Contact Information

Mandy Clark, APRN
614 E Emma Ave Ste 300,
Springdale, AR 72764-4469
(479) 751-7417
Not Available

Map and Direction




Provider's Profile

Full NameMandy Clark
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location614 E Emma Ave Ste 300, Springdale, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104426261
  • Provider Enumeration Date: 10/28/2020
  • Last Update Date: 12/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476967308
  • Enrollment ID: I20210204000159

Medical Identifiers

Medical identifiers for Mandy Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104426261NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics A006213 (Arkansas)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. Mandy Clark allows following entities to bill medicare on her behalf.
Entity NameChristian Family Medicine, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043252620
PECOS PAC ID: 7315903978
Enrollment ID: O20041206000331

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. Mandy 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
Mandy Clark, APRN
614 E Emma Ave Ste 300,
Springdale, AR 72764-4469

Ph: (479) 409-6330
Mandy Clark, APRN
614 E Emma Ave Ste 300,
Springdale, AR 72764-4469

Ph: (479) 751-7417

Reviews and Comments


Nurse Practitioner Nurses in Springdale, AR

Katherine A Darling, DNP, APRN
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Andrew Long, APRN
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Phone: 479-751-5711    
Kaylee M Armendariz, APRN-CNP
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Practice Location: 2878 Powell St, Springdale, AR 72764
Phone: 479-872-3045    Fax: 479-419-5947
James Robert Feher, MSN, APRN, FNP-C
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Kelsey Breanne Smith, APRN
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Phone: 479-445-9900    
Stephanie Burks, FNP-CNP
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Medicare: Medicare Enrolled
Practice Location: 210 S Thompson St Ste 4a, Springdale, AR 72764
Phone: 479-445-9900    

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).

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