Jessica Ann Clark, AUD - Medicare Audiologist in Eagle, ID

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Jessica Ann Clark, AUD is a medicare enrolled "Audiologist" provider in Eagle, Idaho. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 3101 E State St, Suite 2108, Eagle, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 489-4975.

Jessica Ann Clark is licensed to practice in Idaho (license number AUD-2269) 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 1457606832.

Contact Information

Jessica Ann Clark, AUD
3101 E State St, Suite 2108,
Eagle, ID 83616-6232
(208) 489-4975
(208) 489-4089

Map and Direction




Healthcare Provider's Profile

Full NameJessica Ann Clark
GenderFemale
SpecialityQualified Audiologist
Experience14 Years
Location3101 E State St, Eagle, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Ann Clark graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1457606832
  • Provider Enumeration Date: 07/20/2012
  • Last Update Date: 02/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2062630783
  • Enrollment ID: I20140821001596

Medical Identifiers

Medical identifiers for Jessica Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457606832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist AUD-2269 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc49818784021062

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. Jessica Ann Clark allows following entities to bill medicare on her behalf.
Provider NameSt Lukes Clinic-treasure Valley Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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. Jessica Ann 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
Jessica Ann Clark, AUD
3101 E State St, Suite 2108,
Eagle, ID 83616-6232

Ph: (208) 385-3480		Jessica Ann Clark, AUD
3101 E State St, Suite 2108,
Eagle, ID 83616-6232

Ph: (208) 489-4975

Reviews and Comments


Audiologist in Eagle, ID

Stormy M Kleffner, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 440 E State St Ste 100, Eagle, ID 83616
Phone: 208-939-9359    
Dr. David Eric Morledge, PHD
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1020 N Beachwood Ct, Eagle, ID 83616
Phone: 208-562-1826    
Eagle Hearing Llc
Audiologist
Medicare: Medicare Enrolled
Practice Location: 440 E State St Ste 100, Eagle, ID 83616
Phone: 319-610-8111    
Dr. Russell Clark, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 3101 E State St Ste 2108, Eagle, ID 83616
Phone: 208-385-3480    Fax: 208-385-3481
Ms. Catie Ardean Conrad,
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 440 E State St Ste 100, Eagle, ID 83616
Phone: 208-939-9359    
Dr. Abram Paul Vore, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 440 E State St Ste 100, Eagle, ID 83616
Phone: 319-610-8111    Fax: 319-610-8111

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.