Amy Clark, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Grimes, Iowa. She graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Hy-vee Health Pc and her current practice location is
3801 S James St Ste 400, Grimes, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 695-3768.
Amy Clark is licensed to practice in Iowa (license number 01650) 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 1578618336.
Healthcare Provider's Profile
| Full Name | Amy Clark |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 22 Years |
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| Location | 3801 S James St Ste 400, Grimes, Iowa |
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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:
- Amy Clark graduated from medical school in 2003
NPI Data:
- NPI Number: 1578618336
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 12/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698716017
- Enrollment ID: I20050517000090
Medical Identifiers
Medical identifiers for Amy Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578618336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 01650 (Iowa) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hy-vee Health Pc | 1254701618 | 41 |
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. Amy Clark allows following entities to bill medicare on her behalf.
| Provider Name | Hy-vee Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1417121112
PECOS PAC ID: 7416855242
Enrollment ID: O20050224001012 |
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| Provider Name | Hy-vee Health Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1558086637
PECOS PAC ID: 1254701618
Enrollment ID: O20221228002340 |
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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. Amy 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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Amy Clark, RD, LD
3801 S James St Ste 400,
Grimes, IA 50111-5167
Ph: (515) 695-3768 | Amy Clark, RD, LD
3801 S James St Ste 400,
Grimes, IA 50111-5167
Ph: (515) 695-3768 |
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