Cotenna D Clark, in Tucker, GA - Medicare Nurse Practitioner

Cotenna D Clark, is a medicare enrolled "Nurse Practitioner - Gerontology" in Tucker, Georgia. She went to Emory University School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Emory Clinic, Inc and her current practice location is 1857 Cameo Ct, Tucker, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 485-1156.

Cotenna D Clark is licensed to practice in Georgia (license number RN231376) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801401112.

Contact Information

	Cotenna D Clark,
	1857 Cameo Ct, Tucker, GA 30084-7002
	(678) 485-1156
	Not Available

Map and Direction

Provider's Profile

Full Name	Cotenna D Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1857 Cameo Ct, Tucker, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cotenna D Clark attended and graduated from Emory University School Of Medicine in 2019

NPI Data:

NPI Number: 1801401112
Provider Enumeration Date: 09/14/2020
Last Update Date: 09/14/2020

Medicare PECOS Information:

PECOS PAC ID: 9830581305
Enrollment ID: I20220112001743

Medical Identifiers

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

Identifier	Type	State	Issuer
1801401112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN231376 (Georgia)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	RN231376 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emory University Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Emory Clinic, Inc	8820901408	2687

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. Cotenna D Clark allows following entities to bill medicare on her behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

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. Cotenna D 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
Cotenna D Clark, 1857 Cameo Ct, Tucker, GA 30084-7002 Ph: (678) 485-1156	Cotenna D Clark, 1857 Cameo Ct, Tucker, GA 30084-7002 Ph: (678) 485-1156

Reviews and Comments

Nurse Practitioner Nurses in Tucker, GA

Ms. Dorothy Delisfort-crisostomo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4228 1st Ave Ste 1, Tucker, GA 30084 Phone: 833-583-4778 Fax: 833-583-4779
Katrina R Bader, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Cres Ctr Pkwy, Department Of Research, Tucker, GA 30084 Phone: 770-496-3770
Mrs. Melanie Noelle Mcmillan, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2260 Northlake Pkwy Ste 211, Tucker, GA 30084 Phone: 770-491-1344
Solina Jinju Chiang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 770-638-1400
Harriett Laschell Allen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 770-638-1400
Cassandra A Westbrook, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4088 Brookside Manor Dr, Tucker, GA 30084 Phone: 770-686-3428 Fax: 770-686-3428
Dr. Turnisha Monique Carter, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3469 Lawrenceville Hwy Ste 103, Tucker, GA 30084 Phone: 770-939-6480 Fax: 770-638-1961

Cotenna D Clark, - Medicare Nurse Practitioner in Tucker, GA