Elaina Marie Clark, CRNP in Erie, PA - Medicare Nurse Practitioner

Elaina Marie Clark, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Erie, Pennsylvania. Her current practice location is 2620 Sigsbee St, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 454-4599.

Elaina Marie Clark is licensed to practice in Pennsylvania (license number SP013952) 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 1255747242.

Contact Information

	Elaina Marie Clark, CRNP
	2620 Sigsbee St, Erie, PA 16508-1721
	(814) 454-4599
	Not Available

Map and Direction

Provider's Profile

Full Name	Elaina Marie Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2620 Sigsbee St, Erie, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255747242
Provider Enumeration Date: 07/10/2014
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 3173845088
Enrollment ID: I20141204000384

Medical Identifiers

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

Identifier	Type	State	Issuer
1255747242	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP013952 (Pennsylvania)	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. Elaina Marie Clark allows following entities to bill medicare on her behalf.

Entity Name	Erie Spine & Pain Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528732260 PECOS PAC ID: 8921406638 Enrollment ID: O20230912004362

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. Elaina Marie 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
Elaina Marie Clark, CRNP 2620 Sigsbee St, Erie, PA 16508-1721 Ph: (814) 454-4599	Elaina Marie Clark, CRNP 2620 Sigsbee St, Erie, PA 16508-1721 Ph: (814) 454-4599

Reviews and Comments

Nurse Practitioner Nurses in Erie, PA

Tatyana Kryachkov, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3250 W Lake Rd., Suite 2, Erie, PA 16505 Phone: 814-790-4567 Fax: 814-295-4074
Siena I Cook, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 W 12th St Ste C, Erie, PA 16505 Phone: 814-877-8730 Fax: 814-877-8731
Elisabeth Cummings, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2315 Myrtle St Ste 190, Erie, PA 16502 Phone: 814-453-7767 Fax: 814-454-6667
Jennifer Flo Norris, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4120 Westminster Blvd, Erie, PA 16506 Phone: 814-440-2278
Devon Singh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507 Phone: 814-456-8980
Lynn Gates, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922
Nicole Friedl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922

Elaina Marie Clark, CRNP - Medicare Nurse Practitioner in Erie, PA