Stephanie Nicole Clark, MD - Medicare Pediatrics in Kansas City, MO

Stephanie Nicole Clark, MD is a medicare enrolled "Pediatrics" physician in Kansas City, Missouri. Her current practice location is 2401 Gillham Rd, Kansas City, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 701-5200.

Stephanie Nicole Clark is licensed to practice in Kansas (license number 04-39157) 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 1629310156.

Contact Information

Stephanie Nicole Clark, MD
2401 Gillham Rd,
Kansas City, MO 64108-4619
(816) 701-5200
(816) 302-9939

Map and Direction




Physician's Profile

Full NameStephanie Nicole Clark
GenderFemale
SpecialityPediatrics
Location2401 Gillham Rd, Kansas City, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629310156
  • Provider Enumeration Date: 03/22/2013
  • Last Update Date: 01/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163724402
  • Enrollment ID: I20211217000873

Medical Identifiers

Medical identifiers for Stephanie Nicole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629310156NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 04-39157 (Kansas)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. Stephanie Nicole Clark allows following entities to bill medicare on her behalf.
Entity NameThe Childrens Mercy Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851437719
PECOS PAC ID: 2466366026
Enrollment ID: O20050721001065

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. Stephanie Nicole 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
Stephanie Nicole Clark, MD
2401 Gillham Rd,
Kansas City, MO 64108-4619

Ph: (816) 701-5200
Stephanie Nicole Clark, MD
2401 Gillham Rd,
Kansas City, MO 64108-4619

Ph: (816) 701-5200

Reviews and Comments


Pediatrics Doctors in Kansas City, MO

Ryan A Romans, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2401 Gillham Rd, Kansas City, MO 64108
Phone: 816-234-3000    Fax: 816-302-9939
Amanda Finn, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8781 N Platte Purchase Dr, Kansas City, MO 64155
Phone: 816-587-3200    Fax: 816-587-7644
Samira Naime, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2401 Gillham Rd, Kansas City, MO 64108
Phone: 816-234-3000    Fax: 816-302-9939
Dr. Tess Laurynn Schultz, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2401 Gillham Rd, Kansas City, MO 64108
Phone: 816-234-3000    Fax: 816-302-9939
Delsie Asmarah Filardi, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2401 Gillham Rd, Kansas City, MO 64108
Phone: 816-983-6763    Fax: 816-821-3081
Gerald M Woods, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2401 Gillham Rd, Kansas City, MO 64108
Phone: 816-234-3265    
Dr. Gangaram Ganpatrao Akangire, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2401 Gillham Rd, Kansas City, MO 64108
Phone: 816-234-3593    

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.