Clark Lomboy, NP in Mcclellan, CA - Medicare Nurse Practitioner

Clark Lomboy, NP is a medicare enrolled "Nurse Practitioner - Family" in Mcclellan, California. His current practice location is 5342 Dudley Blvd, Mcclellan, California. You can reach out to his office (for appointments etc.) via phone at (916) 561-7793.

Clark Lomboy is licensed to practice in California (license number 95006613) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033507009.

Contact Information

	Clark Lomboy, NP
	5342 Dudley Blvd, Mcclellan, CA 95652-1012
	(916) 561-7793
	(916) 561-7566

Map and Direction

Provider's Profile

Full Name	Clark Lomboy
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5342 Dudley Blvd, Mcclellan, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033507009
Provider Enumeration Date: 12/29/2014
Last Update Date: 05/13/2025

Medicare PECOS Information:

PECOS PAC ID: 0749542793
Enrollment ID: I20180403000421

Medical Identifiers

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

Identifier	Type	State	Issuer
1033507009	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95006613 (California)	Primary
163W00000X	Registered Nurse	789909 (California)	Secondary

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

Entity Name	Wellspace Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124112933 PECOS PAC ID: 8426157975 Enrollment ID: O20070623000117

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. Clark Lomboy 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
Clark Lomboy, NP 10601 Bear Hollow Drive, Box 31, Rancho Cordova, CA 95670 Ph: (916) 854-3879	Clark Lomboy, NP 5342 Dudley Blvd, Mcclellan, CA 95652-1012 Ph: (916) 561-7793

Reviews and Comments

Nurse Practitioner Nurses in Mcclellan, CA

Miss Valerie Christian, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5342 Dudley Blvd, Mcclellan, CA 95652 Phone: 916-561-7511
Mae Ruth Doctor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5342 Dudley Blvd, Mcclellan, CA 95652 Phone: 916-561-7400
Ms. Nancy Jean Wynn, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5342 Dudley Blvd, Mcclellan, CA 95652 Phone: 916-291-9742
Ms. Janelle Culjis, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5342 Dudley Blvd, Mcclellan, CA 95652 Phone: 916-561-7522 Fax: 916-561-7529
Mrs. Brenda Marie Lee, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5342 Dudley Blvd, Mcclellan, CA 95652 Phone: 916-561-7480 Fax: 916-561-7486
Mr. Thomas Floyd Coye, R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3230 Peacekeeper Way, Mcclellan, CA 95652 Phone: 916-830-1515 Fax: 916-929-1861

Clark Lomboy, NP - Medicare Nurse Practitioner in Mcclellan, CA