James M Clark, CFNP in Jackson, MS - Medicare Nurse Practitioner

James M Clark, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Rapha Wellness And Primary Care, Llc and his current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-6525.

James M Clark is licensed to practice in Mississippi (license number R854948) 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 1639418486.

Contact Information

	James M Clark, CFNP
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-6525
	(601) 984-5151

Map and Direction

Provider's Profile

Full Name	James M Clark
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	2500 N State St, Jackson, Mississippi
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:

James M Clark graduated from nursing school in 2012

NPI Data:

NPI Number: 1639418486
Provider Enumeration Date: 02/13/2013
Last Update Date: 07/30/2018

Medicare PECOS Information:

PECOS PAC ID: 5092953315
Enrollment ID: I20130529000004

Medical Identifiers

Medical identifiers for James M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639418486	NPI	-	NPPES
07876712	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R854948 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Crossgates River Oaks Hospital	Brandon, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rapha Wellness And Primary Care, Llc	9830539261	4

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. James M Clark allows following entities to bill medicare on his behalf.

Entity Name	Southern Medical Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215396577 PECOS PAC ID: 9830496314 Enrollment ID: O20160329000043

Entity Name	Rapha Wellness And Primary Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457051591 PECOS PAC ID: 9830539261 Enrollment ID: O20240501003470

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. James M 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
James M Clark, CFNP Po Box 4402, Brandon, MS 39047-4402 Ph: (601) 992-9898	James M Clark, CFNP 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-6525

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Mrs. Christian R Fortenberry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216 Phone: 601-200-4560 Fax: 601-200-4580
Susan B Patterson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503

James M Clark, CFNP - Medicare Nurse Practitioner in Jackson, MS