Mrs Carolyn Teresa Clark, RN BSN - Registered Nurse in Wilkes Barre, PA

Mrs Carolyn Teresa Clark, RN BSN is a Registered Nurse based in Wilkes Barre, Pennsylvania. Mrs Carolyn Teresa Clark is licensed to practice in Pennsylvania (license number RN308661L) and her current practice location is 1155 E Mountain Blvd, Wilkes Barre, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (570) 808-7920.

NPI number for Mrs Carolyn Teresa Clark is 1003434069 and her current mailing address is 1155 E Mountain Blvd, Wilkes Barre, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003434069.

Contact Information

Mrs Carolyn Teresa Clark, RN BSN
1155 E Mountain Blvd,
Wilkes Barre, PA 18702-7906
(570) 808-7920
(570) 808-6006

Map and Direction




Provider's Profile

Full NameMrs Carolyn Teresa Clark
GenderFemale
SpecialityRegistered Nurse
Location1155 E Mountain Blvd, Wilkes Barre, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003434069
  • Provider Enumeration Date: 07/07/2020
  • Last Update Date: 07/07/2020

Medical Identifiers

Medical identifiers for Mrs Carolyn Teresa Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003434069NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN308661L (Pennsylvania)Primary

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. Mrs Carolyn Teresa Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Carolyn Teresa Clark, RN BSN
1155 E Mountain Blvd,
Wilkes Barre, PA 18702-7906

Ph: (570) 808-7920
Mrs Carolyn Teresa Clark, RN BSN
1155 E Mountain Blvd,
Wilkes Barre, PA 18702-7906

Ph: (570) 808-7920

Reviews and Comments


Registered Nurse Nurses in Wilkes Barre, PA

Deborah Ann Lafratte, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 53 Gravel St, Wilkes Barre, PA 18705
Phone: 570-789-0845    Fax: 570-371-5604
Mr. Carmen Attanasio Iv, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 25 Church St, Wilkes Barre, PA 18702
Phone: 570-808-2514    
Bonnie Lorenzetti, CRNP
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702
Phone: 570-808-7916    Fax: 570-808-6006
Debra L Merrick, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 15 Public Sq, Suite 600, Wilkes Barre, PA 18701
Phone: 570-826-1777    
Mrs. Wendy Bealla,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702
Phone: 570-808-7916    Fax: 570-808-6006
Breyana Gibson, CRNA
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7850    Fax: 570-808-7855

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.