Hunter Kavin Clark, CRNP in Dothan, AL - Medicare Nurse Practitioner

Hunter Kavin Clark, CRNP is a medicare enrolled "Nurse Practitioner" in Dothan, Alabama. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Carolina Medicorp Enterprises Llc, Monument Health Network Inc and his current practice location is 1500 Ross Clark Cir, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 793-2663.

Hunter Kavin Clark is licensed to practice in Alabama (license number 1-117714) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932588241.

Contact Information

	Hunter Kavin Clark, CRNP
	1500 Ross Clark Cir, Dothan, AL 36301-4754
	(334) 793-2663
	(334) 836-2248

Map and Direction

Provider's Profile

Full Name	Hunter Kavin Clark
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	1500 Ross Clark Cir, Dothan, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Hunter Kavin Clark graduated from nursing school in 2014

NPI Data:

NPI Number: 1932588241
Provider Enumeration Date: 05/20/2015
Last Update Date: 10/17/2024

Medicare PECOS Information:

PECOS PAC ID: 6002124542
Enrollment ID: I20241108000624

Medical Identifiers

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

Identifier	Type	State	Issuer
1932588241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5020785 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	1-117714 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Monument Health Spearfish Hospital	Spearfish, SD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolina Medicorp Enterprises Llc	0648174904	150
Monument Health Network Inc	5991616427	153

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. Hunter Kavin Clark allows following entities to bill medicare on his behalf.

Entity Name	Carolina Medicorp Enterprises Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760950646 PECOS PAC ID: 0648174904 Enrollment ID: O20040110000190

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. Hunter Kavin 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
Hunter Kavin Clark, CRNP Po Box 729, Dothan, AL 36302-0729 Ph: (334) 793-2663	Hunter Kavin Clark, CRNP 1500 Ross Clark Cir, Dothan, AL 36301-4754 Ph: (334) 793-2663

Reviews and Comments

Nurse Practitioner Nurses in Dothan, AL

Julia Jones Holloway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190
Heather Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212
Jenna Oates, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 Healthwest Dr, Dothan, AL 36303 Phone: 334-792-9500
Mrs. Samantha Poole Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305 Phone: 334-944-7056 Fax: 334-944-7063
Elizabeth Ann Mcfarland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291
Amanda B Imming, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Melba Drive, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614
Vickie D Sconyers, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305 Phone: 334-793-6511 Fax: 334-677-5642

Hunter Kavin Clark, CRNP - Medicare Nurse Practitioner in Dothan, AL