Hailey Anne Clark, NP-C - Medicare Nurse Practitioner in Rigby, ID

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Hailey Anne Clark, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Rigby, Idaho. Her current practice location is 167 E 1st S, Rigby, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 745-8747.

Hailey Anne Clark is licensed to practice in Idaho (license number 60009) 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 1487125969.

Contact Information

Hailey Anne Clark, NP-C
167 E 1st S,
Rigby, ID 83442-1401
(208) 745-8747
Not Available

Map and Direction




Provider's Profile

Full NameHailey Anne Clark
GenderFemale
SpecialityNurse Practitioner - Family
Location167 E 1st S, Rigby, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487125969
  • Provider Enumeration Date: 12/10/2018
  • Last Update Date: 12/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8921348129
  • Enrollment ID: I20190326002408

Medical Identifiers

Medical identifiers for Hailey Anne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487125969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 60009 (Idaho)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. Hailey Anne Clark allows following entities to bill medicare on her behalf.
Entity NameMountain View Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669462362
PECOS PAC ID: 4486562774
Enrollment ID: O20040527001343
Entity NameWomen's Healthcare Associates, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255400636
PECOS PAC ID: 3577540616
Enrollment ID: O20040706001383
Entity NameCommunity Care West Side Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295009785
PECOS PAC ID: 3678738218
Enrollment ID: O20120703000554
Entity NameCc Pocatello Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538517156
PECOS PAC ID: 8527353176
Enrollment ID: O20160822003018

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. Hailey Anne 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
Hailey Anne Clark, NP-C
167 E 1st S,
Rigby, ID 83442-1401

Ph: (208) 745-8747		Hailey Anne Clark, NP-C
167 E 1st S,
Rigby, ID 83442-1401

Ph: (208) 745-8747

Reviews and Comments


Nurse Practitioner Nurses in Rigby, ID

Jenni Lee Borg, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 167 E 1st S, Rigby, ID 83442
Phone: 208-745-8747    
Alison Noel Thompson, FNP-B
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 385 Estella Ave, Rigby, ID 83442
Phone: 208-201-3902    
Leigh Short, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 195 N 4242 E, Rigby, ID 83442
Phone: 208-697-7115    
Dr. Hayden Beard, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 359 N 3rd W Apt 401, Rigby, ID 83442
Phone: 208-243-7525    
Spencer Stanger, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 711 Rigby Lake Dr Ste 115, Rigby, ID 83442
Phone: 208-745-5021    Fax: 208-745-5026
Ty Alan Cottle, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 711 Rigby Lake Dr Ste 102, Rigby, ID 83442
Phone: 208-973-9413    Fax: 208-216-0228

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.