Amy Mckell Cluck, NURSE PRACTITIONER in Malden, MO

Amy Mckell Cluck, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Malden, Missouri. Her current practice location is 806 N Douglass St, Malden, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 276-3873.

Amy Mckell Cluck is licensed to practice in Missouri (license number 2024026240) 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 1407692429.

Contact Information

	Amy Mckell Cluck, NURSE PRACTITIONER
	806 N Douglass St, Malden, MO 63863-1512
	(573) 276-3873
	Not Available

Map and Direction

Provider's Profile

Full Name	Amy Mckell Cluck
Gender	Female
Speciality	Nurse Practitioner - Family
Location	806 N Douglass St, Malden, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407692429
Provider Enumeration Date: 07/09/2024
Last Update Date: 07/09/2024

Medicare PECOS Information:

PECOS PAC ID: 9931633237
Enrollment ID: I20241108002281

Medical Identifiers

Medical identifiers for Amy Mckell Cluck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407692429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2024026240 (Missouri)	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. Amy Mckell Cluck allows following entities to bill medicare on her behalf.

Entity Name	Poplar Bluff Regional Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730330168 PECOS PAC ID: 6800707225 Enrollment ID: O20090911000300

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 Mckell Cluck 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
Amy Mckell Cluck, NURSE PRACTITIONER 806 N Douglass St, Malden, MO 63863-1512 Ph: (573) 276-3873	Amy Mckell Cluck, NURSE PRACTITIONER 806 N Douglass St, Malden, MO 63863-1512 Ph: (573) 276-3873

Reviews and Comments

Nurse Practitioner Nurses in Malden, MO

Shelby Brown, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22983 County Road 220, Malden, MO 63863 Phone: 501-626-8615
Kayla Leann Fuller, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1207 N Douglass St, Malden, MO 63863 Phone: 573-276-3884
Mrs. Sharon Denise White, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 806 N Douglass St, Malden, MO 63863 Phone: 573-276-3873 Fax: 573-276-4212
Mrs. Jennetta Sue Stearns, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 806 N Douglass St, Malden, MO 63863 Phone: 573-276-3873
Miriam Brehmer, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1207 N Douglass St, Malden, MO 63863 Phone: 573-276-3884

Amy Mckell Cluck, NURSE PRACTITIONER - Medicare Nurse Practitioner in Malden, MO