Beverly W Clark, FNP-C - Medicare Nurse Practitioner in Macon, MS

Beverly W Clark, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Macon, Mississippi. Her current practice location is 78 Hospital Rd, Macon, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 361-8338.

Beverly W Clark is licensed to practice in Mississippi (license number 904987) 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 1184387672.

Contact Information

Beverly W Clark, FNP-C
78 Hospital Rd,
Macon, MS 39341-2490
(662) 361-8338
Not Available

Map and Direction




Provider's Profile

Full NameBeverly W Clark
GenderFemale
SpecialityNurse Practitioner - Family
Location78 Hospital Rd, Macon, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184387672
  • Provider Enumeration Date: 10/21/2021
  • Last Update Date: 01/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355717455
  • Enrollment ID: I20221014000264

Medical Identifiers

Medical identifiers for Beverly W Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184387672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 904987 (Mississippi)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. Beverly W Clark allows following entities to bill medicare on her behalf.
Entity NameNoxubee General Critical Access Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477793305
PECOS PAC ID: 9335130798
Enrollment ID: O20040524000515

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. Beverly W 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
Beverly W Clark, FNP-C
4735 Highway 490 Rd,
Macon, MS 39341-9366

Ph: (662) 361-8338
Beverly W Clark, FNP-C
78 Hospital Rd,
Macon, MS 39341-2490

Ph: (662) 361-8338

Reviews and Comments


Nurse Practitioner Nurses in Macon, MS

Janice Noland Robertson, CFNP
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Practice Location: 606 N Jefferson St, Macon, MS 39341
Phone: 662-726-4231    
Marlee Sellers, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 3878 Jefferson St, Macon, MS 39341
Phone: 662-726-5831    
Mrs. Jennifer Yuson Dozier, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 606 North Jefferson Street, Macon, MS 39341
Phone: 662-726-4264    Fax: 662-726-4204
Dorthy Renee Bester, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 78 Hospital Rd, Macon, MS 39341
Phone: 662-726-4264    Fax: 662-726-4204
Mrs. Amanda Nicholas Jones, CFNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 78 Hospital Rd, Macon, MS 39341
Phone: 662-738-4424    
Tymetric Antoin Robinson, MD
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 338 Green St, Macon, MS 39341
Phone: 662-694-5726    

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.

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