Mr Casey Clark, ARNP in Raleigh, NC - Medicare Nurse Practitioner

Mr Casey Clark, ARNP is a medicare enrolled "Nurse Practitioner" in Raleigh, North Carolina. He went to University Of Missouri, Columbia School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Avance Care Pa and his current practice location is 815 Oberlin Rd, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (630) 740-0574.

Mr Casey Clark is licensed to practice in Florida (license number ARNP9295142) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518308923.

Contact Information

	Mr Casey Clark, ARNP
	815 Oberlin Rd, Raleigh, NC 27605-1300
	(630) 740-0574
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Casey Clark
Gender	Male
Speciality	Nurse Practitioner
Experience	15 Years
Location	815 Oberlin Rd, Raleigh, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Casey Clark attended and graduated from University Of Missouri, Columbia School Of Medicine in 2009

NPI Data:

NPI Number: 1518308923
Provider Enumeration Date: 07/13/2013
Last Update Date: 03/11/2019

Medicare PECOS Information:

PECOS PAC ID: 8820217367
Enrollment ID: I20181031000764

Medical Identifiers

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

Identifier	Type	State	Issuer
1518308923	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	647396 (New York)	Secondary
163W00000X	Registered Nurse	9295142 (Florida)	Secondary
363L00000X	Nurse Practitioner	50100977 (North Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	647396 (New York)	Secondary
363L00000X	Nurse Practitioner	ARNP9295142 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avance Care Pa	3577634476	208

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. Mr Casey Clark allows following entities to bill medicare on his behalf.

Entity Name	Avance Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487845020 PECOS PAC ID: 3577634476 Enrollment ID: O20080620000196

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. Mr Casey 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
Mr Casey Clark, ARNP 311 Mcdowell Dr, Wake Forest, NC 27587-2572 Ph: () -	Mr Casey Clark, ARNP 815 Oberlin Rd, Raleigh, NC 27605-1300 Ph: (630) 740-0574

Reviews and Comments

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Mr Casey Clark, ARNP - Medicare Nurse Practitioner in Raleigh, NC