Andrew Clark, CRNP in Lakewood, NJ - Medicare Nurse Practitioner

Andrew Clark, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Lakewood, New Jersey. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Penn State Health Community Medical Group Llc and his current practice location is 101 2nd St, Lakewood, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 363-6656.

Andrew Clark is licensed to practice in New Jersey (license number 26NJ00783000) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609382670.

Contact Information

	Andrew Clark, CRNP
	101 2nd St, Lakewood, NJ 08701-3324
	(732) 363-6656
	Not Available

Map and Direction

Provider's Profile

Full Name	Andrew Clark
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	101 2nd St, Lakewood, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Andrew Clark graduated from nursing school in 2017

NPI Data:

NPI Number: 1609382670
Provider Enumeration Date: 12/28/2017
Last Update Date: 12/28/2017

Medicare PECOS Information:

PECOS PAC ID: 9638439540
Enrollment ID: I20240819000505

Medical Identifiers

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

Identifier	Type	State	Issuer
1609382670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ00783000 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Medical Center	Reading, PA	Hospital
Lancaster General Hospital	Lancaster, PA	Hospital
Milton S Hershey Medical Center	Hershey, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Penn State Health Community Medical Group Llc	8729351077	737

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. Andrew Clark allows following entities to bill medicare on his behalf.

Entity Name	Penn State Health Community Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279

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. Andrew 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
Andrew Clark, CRNP 101 2nd St, Lakewood, NJ 08701-3324 Ph: () -	Andrew Clark, CRNP 101 2nd St, Lakewood, NJ 08701-3324 Ph: (732) 363-6656

Reviews and Comments

Nurse Practitioner Nurses in Lakewood, NJ

Cheryl S. Ochs, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1771 Madison Ave, Lakewood, NJ 08701 Phone: 732-364-2144
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Rochelle Travis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Bay Hill Rd, Lakewood, NJ 08701 Phone: 848-245-4347
Ms. Lara Duffy, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Route 70, Lakewood, NJ 08701 Phone: 732-901-0211 Fax: 732-901-0199
Mrs. Shira Wurzburger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Tudor Ct, Lakewood, NJ 08701 Phone: 845-641-3463
Rosie Tesler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Madison Ave, Lakewood, NJ 08701 Phone: 732-364-7770
Hana Kabalkin, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Colony Cir, Lakewood, NJ 08701 Phone: 917-231-6416

Andrew Clark, CRNP - Medicare Nurse Practitioner in Lakewood, NJ