Jennifer Joann Clark, NP - Medicare Nurse Practitioner in Anderson, MO

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Jennifer Joann Clark, NP is a medicare enrolled "Nurse Practitioner - Family" in Anderson, Missouri. Her current practice location is 104 E Main St, Anderson, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 845-6984.

Jennifer Joann Clark is licensed to practice in Missouri (license number 2015031288) 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 1710355615.

Contact Information

Jennifer Joann Clark, NP
104 E Main St,
Anderson, MO 64831-4103
(417) 845-6984
(417) 845-6976

Map and Direction




Provider's Profile

Full NameJennifer Joann Clark
GenderFemale
SpecialityNurse Practitioner - Family
Location104 E Main St, Anderson, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710355615
  • Provider Enumeration Date: 09/09/2015
  • Last Update Date: 06/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1951618537
  • Enrollment ID: I20170323002076

Medical Identifiers

Medical identifiers for Jennifer Joann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710355615NPI-NPPES
1710355615MedicaidMO
201119140AMedicaidKS
200605370AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2015031288 (Missouri)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. Jennifer Joann Clark allows following entities to bill medicare on her behalf.
Entity NameSouth Arkansas Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942435458
PECOS PAC ID: 4486705720
Enrollment ID: O20090629000005

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. Jennifer Joann 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
Jennifer Joann Clark, NP
104 E Main St,
Anderson, MO 64831-4103

Ph: (417) 845-6984		Jennifer Joann Clark, NP
104 E Main St,
Anderson, MO 64831-4103

Ph: (417) 845-6984

Reviews and Comments


Nurse Practitioner Nurses in Anderson, MO

Mrs. Gladys Kabamba Smith, FAMILY NURSE PRACTIT
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 104 E Main St, Anderson, MO 64831
Phone: 417-845-6984    Fax: 417-845-6976
Rebecca A Bender, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 510 Park Street, Anderson, MO 64831
Phone: 417-845-0545    Fax: 417-845-0548
Sabrina R Barratt, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 927 N 71 Business Hwy, Anderson, MO 64831
Phone: 417-845-8300    Fax: 417-845-8314
Randolf J Dunn, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 927 N 71 Business Hwy, Anderson, MO 64831
Phone: 417-845-8300    Fax: 417-845-8314
Kevin Copley, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 927 N Business 71, Anderson, MO 64831
Phone: 417-845-8300    
Erin Christina Berry, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 E Main St, Anderson, MO 64831
Phone: 417-845-6984    Fax: 417-845-6976

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.