Channel Trenise Clark, PMHNP-BC - Medicare Nurse Practitioner in Lees Summit, MO

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Channel Trenise Clark, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lees Summit, Missouri. Her current practice location is 237 Nw Kessler Dr Apt 307, Lees Summit, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 289-1223.

Channel Trenise Clark is licensed to practice in Missouri (license number 2024039915) 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 1477374874.

Contact Information

Channel Trenise Clark, PMHNP-BC
237 Nw Kessler Dr Apt 307,
Lees Summit, MO 64081-4173
(816) 289-1223
Not Available

Map and Direction




Provider's Profile

Full NameChannel Trenise Clark
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location237 Nw Kessler Dr Apt 307, Lees Summit, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477374874
  • Provider Enumeration Date: 10/18/2024
  • Last Update Date: 10/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092235184
  • Enrollment ID: I20250219002427

Medical Identifiers

Medical identifiers for Channel Trenise Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477374874NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2004022119 (Missouri)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2024039915 (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. Channel Trenise Clark allows following entities to bill medicare on her behalf.
Entity NameKansas Post Acute Medical Services 1 Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124557020
PECOS PAC ID: 1557634193
Enrollment ID: O20170905000134
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210810000716
Entity NameCs Pacs 3 Midwest Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972368785
PECOS PAC ID: 4183164734
Enrollment ID: O20241002002538

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. Channel Trenise 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
Channel Trenise Clark, PMHNP-BC
237 Nw Kessler Dr Apt 307,
Lees Summit, MO 64081-4173

Ph: (816) 289-1223		Channel Trenise Clark, PMHNP-BC
237 Nw Kessler Dr Apt 307,
Lees Summit, MO 64081-4173

Ph: (816) 289-1223

Reviews and Comments


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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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