| Amanda Nichole Clark, DNP | |
|
1507 Rivery Blvd, Georgetown, TX 78628-3058 | |
| (512) 509-9550 | |
| (512) 509-9555 |
| Full Name | Amanda Nichole Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 1507 Rivery Blvd, Georgetown, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205654878 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scott & White Hospital-round Rock | Round rock, TX | Hospital |
| Northwestern Medicine Central Dupage Hospital | Winfield, IL | Hospital |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2426 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Nichole Clark, DNP Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Amanda Nichole Clark, DNP 1507 Rivery Blvd, Georgetown, TX 78628-3058 Ph: (512) 509-9550 |
Pamela Palmer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1507 Rivery Blvd, Georgetown, TX 78628 Phone: 512-509-9550 |
Michelle Howard, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3316 Williams Dr Ste 150, Georgetown, TX 78628 Phone: 512-244-4272 Fax: 512-244-2895 |
Charlotte A Barr, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 359 Village Commons Blvd, Georgetown, TX 78633 Phone: 512-819-9500 |
Modesta Obiageli Onyia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 E University Ave, Suite 157, Georgetown, TX 78626 Phone: 512-868-9078 Fax: 512-819-0646 |
Mayajoy Thode, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3626 Williams Dr Ste 100, Georgetown, TX 78628 Phone: 512-643-0659 |
Alexandra Knudson Bleasdell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 359 Village Commons Blvd, Georgetown, TX 78633 Phone: 512-819-9500 |
Katie Lauryn Lewis, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1502 Blue Ridge Dr Ste 201, Georgetown, TX 78626 Phone: 800-215-3219 Fax: 346-245-8026 |