Corine Clark, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Denver, Colorado. She graduated from healthcare school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Texas Southwestern Medical Center At Dallas and her current practice location is
3401 Quebec St Ste 7600, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 310-3406.
Corine Clark is licensed to practice in Colorado (license number C-APN.0104659-C-NP) 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 1881926616.
Healthcare Provider's Profile
| Full Name | Corine Clark |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 3401 Quebec St Ste 7600, Denver, Colorado |
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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:
- Corine Clark graduated from medical school in 2023
NPI Data:
- NPI Number: 1881926616
- Provider Enumeration Date: 02/04/2010
- Last Update Date: 09/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042651838
- Enrollment ID: I20240510001228
Medical Identifiers
Medical identifiers for Corine Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881926616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | C-APN.0104659-C-NP (Colorado) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1140793 (Texas) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Of Texas Southwestern Medical Center At Dallas | 0648188250 | 2784 |
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. Corine Clark allows following entities to bill medicare on her behalf.
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942270566
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792 |
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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. Corine 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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Corine Clark, PMHNP-BC
3401 Quebec St Ste 7600,
Denver, CO 80207-2345
Ph: (970) 310-3406 | Corine Clark, PMHNP-BC
3401 Quebec St Ste 7600,
Denver, CO 80207-2345
Ph: (970) 310-3406 |
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