Dr Sally Ann Keese Clark, DDS in Lincoln, NE

Dr Sally Ann Keese Clark, DDS is a medicare enrolled "Dentist" provider in Lincoln, Nebraska. Her current practice location is 1021 N 27th St, Lincoln, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 476-1640.

Dr Sally Ann Keese Clark is licensed to practice in Nebraska (license number 7190) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124227335.

Contact Information

	Dr Sally Ann Keese Clark, DDS
	1021 N 27th St, Lincoln, NE 68503-1803
	(402) 476-1640
	(402) 476-1670

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sally Ann Keese Clark
Gender	Female
Speciality	Dentist
Location	1021 N 27th St, Lincoln, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124227335
Provider Enumeration Date: 07/17/2007
Last Update Date: 06/14/2022

Medicare PECOS Information:

PECOS PAC ID: 0042519993
Enrollment ID: I20220729000942

Medical Identifiers

Medical identifiers for Dr Sally Ann Keese Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124227335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D0630 (South Dakota)	Secondary
122300000X	Dentist	7190 (Nebraska)	Primary

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. Dr Sally Ann Keese Clark allows following entities to bill medicare on her behalf.

Entity Name	Bluestem Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932156114 PECOS PAC ID: 6800706672 Enrollment ID: O20040219000213

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. Dr Sally Ann Keese 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
Dr Sally Ann Keese Clark, DDS 1021 N 27th St, Lincoln, NE 68503-1803 Ph: (402) 476-1640	Dr Sally Ann Keese Clark, DDS 1021 N 27th St, Lincoln, NE 68503-1803 Ph: (402) 476-1640

Reviews and Comments

Dentist in Lincoln, NE

Bongok Kim, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3885 Holdrege St., Lincoln, NE 68583 Phone: 402-472-8900
Dr. Grace Moore, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4000 E Campus Loop S, Lincoln, NE 68583 Phone: 402-472-1333
Dr. Michael Stephen Kotopka, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6040 Village Dr, Lincoln, NE 68516 Phone: 402-420-2222 Fax: 402-420-7045
Dr. Tom J Milius, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1140 N 83rd St, Lincoln, NE 68505 Phone: 402-483-4322 Fax: 402-483-0439
Dr. Kelsey Elizabeth Buckley, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 S 40th St Ste 103, Lincoln, NE 68506 Phone: 402-488-0959 Fax: 402-488-2169
Dr. Rusty O Lewis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8330 Dawson Creek Bay, Lincoln, NE 68505 Phone: 402-325-6056 Fax: 402-325-6058
Jessica Gradoville, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 40th And Holdrege St, Lincoln, NE 68503 Phone: 402-472-3249

Dr Sally Ann Keese Clark, DDS - Medicare Dentist in Lincoln, NE