Courtney B Clark, NP - Medicare Nurse Practitioner in Lawrenceburg, TN

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Courtney B Clark, NP is a medicare enrolled "Nurse Practitioner" in Lawrenceburg, Tennessee. Her current practice location is 2131 N Locust Ave, Lawrenceburg, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 762-6545.

Courtney B Clark is licensed to practice in Tennessee (license number 17501) 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 1376985036.

Contact Information

Courtney B Clark, NP
2131 N Locust Ave,
Lawrenceburg, TN 38464-4455
(931) 762-6545
Not Available

Map and Direction




Provider's Profile

Full NameCourtney B Clark
GenderFemale
SpecialityNurse Practitioner
Location2131 N Locust Ave, Lawrenceburg, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376985036
  • Provider Enumeration Date: 07/23/2013
  • Last Update Date: 04/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0345483756
  • Enrollment ID: I20130904000862

Medical Identifiers

Medical identifiers for Courtney B Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376985036NPI-NPPES
3710089MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 17501 (Tennessee)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. Courtney B Clark allows following entities to bill medicare on her behalf.
Entity NameMaury Regional Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205886264
PECOS PAC ID: 7911810742
Enrollment ID: O20040227000252
Entity NameAcacia Dermatology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528216314
PECOS PAC ID: 9133287485
Enrollment ID: O20081015000458
Entity NameAnova Medical Associates, Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659849537
PECOS PAC ID: 8325372741
Enrollment ID: O20190618003690

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. Courtney B 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
Courtney B Clark, NP
2131 N Locust Ave,
Lawrenceburg, TN 38464-4455

Ph: (931) 762-6545		Courtney B Clark, NP
2131 N Locust Ave,
Lawrenceburg, TN 38464-4455

Ph: (931) 762-6545

Reviews and Comments


Nurse Practitioner Nurses in Lawrenceburg, TN

Leah Stone,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 726 N Locust Ave, 1st Fl, Ste D, Lawrenceburg, TN 38464
Phone: 931-766-7056    Fax: 931-766-7057
Alison Denise Hagan,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 326 N Locust Ave Ste B, Lawrenceburg, TN 38464
Phone: 931-762-9797    Fax: 931-762-9798
Mrs. Shonda Danielle Morris, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 325d Geri St, Lawrenceburg, TN 38464
Phone: 931-762-9797    
Mrs. Kellie Dobias Coffey, APRN, BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 Weakley Creek Rd, Lawrenceburg, TN 38464
Phone: 931-766-5001    Fax: 931-762-3800
Samantha A Whitwell, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 129 N Locust Ave, Lawrenceburg, TN 38464
Phone: 931-762-7232    
Sara Smith, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 325 Geri St, Suite A, Lawrenceburg, TN 38464
Phone: 931-762-9797    
Ashlee Paige Bates, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 326 N Locust Ave, Lawrenceburg, TN 38464
Phone: 931-762-9797    Fax: 931-762-9798

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.