Michelle E Clark, APRN is a medicare enrolled "Nurse Practitioner" in Ravenna, Nebraska. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Heartland Health Center, Inc and her current practice location is
104 W Seneca St, Ravenna, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(308) 452-3203.
Michelle E Clark is licensed to practice in Nebraska (license number 112270) 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 1376067124.
Provider's Profile
| Full Name | Michelle E Clark |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 104 W Seneca St, Ravenna, Nebraska |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michelle E Clark graduated from nursing school in 2016
NPI Data:
- NPI Number: 1376067124
- Provider Enumeration Date: 08/02/2017
- Last Update Date: 09/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264706076
- Enrollment ID: I20170918002032
Medical Identifiers
Medical identifiers for Michelle E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376067124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 112270 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Heartland Health Center, Inc | 6103058607 | 10 |
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. Michelle E Clark allows following entities to bill medicare on her behalf.
| Entity Name | Franklin County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255334660
PECOS PAC ID: 9537055975
Enrollment ID: O20040224000473 |
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| Entity Name | Heartland Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275954299
PECOS PAC ID: 6103058607
Enrollment ID: O20140416000942 |
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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. Michelle E 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 |
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Michelle E Clark, APRN
104 W Seneca St,
Ravenna, NE 68869-1363
Ph: (308) 452-3203 | Michelle E Clark, APRN
104 W Seneca St,
Ravenna, NE 68869-1363
Ph: (308) 452-3203 |
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