Allison Clark, in Southport, NC - Medicare Nurse Practitioner

Allison Clark, is a medicare enrolled "Nurse Practitioner - Family" in Southport, North Carolina. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Heaton Family Practice, Llc, Procare Pt Lp, Med First Immediate Care And Family Practice Pa and her current practice location is 5130 Southport Supply Rd Se, Southport, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 269-2053.

Allison Clark is licensed to practice in North Carolina (license number 5022987) 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 1750945366.

Contact Information

	Allison Clark,
	5130 Southport Supply Rd Se, Southport, NC 28461-9261
	(910) 269-2053
	Not Available

Map and Direction

Provider's Profile

Full Name	Allison Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	5130 Southport Supply Rd Se, Southport, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Allison Clark graduated from nursing school in 2019

NPI Data:

NPI Number: 1750945366
Provider Enumeration Date: 04/29/2019
Last Update Date: 04/15/2026

Medicare PECOS Information:

PECOS PAC ID: 3072856533
Enrollment ID: I20190524000418

Medical Identifiers

Medical identifiers for Allison Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750945366	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5022987 (North Carolina)	Primary
363L00000X	Nurse Practitioner	SP020248 (Pennsylvania)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nason Medical Center, Llc	Roaring spring, PA	Hospital
J Arthur Dosher Memorial Hospital	Southport, NC	Hospital
Novant Health Brunswick Medical Center	Supply, NC	Hospital
Upmc Altoona	Altoona, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Heaton Family Practice, Llc	6406924513	3
Procare Pt Lp	3476790767	68
Med First Immediate Care And Family Practice Pa	0446332720	97

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. Allison Clark allows following entities to bill medicare on her behalf.

Entity Name	Heaton Family Practice, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154588499 PECOS PAC ID: 6406924513 Enrollment ID: O20081002000337

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. Allison 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
Allison Clark, 5130 Southport Supply Rd Se, Southport, NC 28461-9261 Ph: (910) 269-2053	Allison Clark, 5130 Southport Supply Rd Se, Southport, NC 28461-9261 Ph: (910) 269-2053

Reviews and Comments

Nurse Practitioner Nurses in Southport, NC

Lauren Cannon Durham, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5010 Southport Crossing Way, Southport, NC 28461 Phone: 910-721-5065
Mrs. Amanda Dewitt Reynolds, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 924 N Howe St, Southport, NC 28461 Phone: 910-457-3800
Christina Manning, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 924 N Howe St, Southport, NC 28461 Phone: 910-457-3800
Mrs. Dora Connelly Loflin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4705 Southport Supply Rd Se, Southport, NC 28461 Phone: 910-457-6044 Fax: 910-457-5220
Jillian Sara Tabor, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 924 N Howe St, Southport, NC 28461 Phone: 910-454-1192
Margaret Higgins Kaplan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5503 Rob Gandy Blvd Se Ste 2b, Southport, NC 28461 Phone: 910-442-8900 Fax: 910-310-4352
Lorena Dunbar Mauney, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4734 Long Beach Rd Se, Southport, NC 28461 Phone: 910-457-0070 Fax: 910-267-8936

Allison Clark, - Medicare Nurse Practitioner in Southport, NC