Jessica Kate Clark, APRN - Medicare Nurse Practitioner in Waycross, GA

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Jessica Kate Clark, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waycross, Georgia. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Unison Behavioral Health, K Somanath Md Inc and her current practice location is 1007 Mary St, Waycross, Georgia. You can reach out to her office (for appointments etc.) via phone at (800) 342-8168.

Jessica Kate Clark is licensed to practice in Georgia (license number RN215514) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417412917.

Contact Information

Jessica Kate Clark, APRN
1007 Mary St,
Waycross, GA 31503-3823
(800) 342-8168
Not Available

Map and Direction




Provider's Profile

Full NameJessica Kate Clark
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location1007 Mary St, Waycross, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Kate Clark graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1417412917
  • Provider Enumeration Date: 02/08/2019
  • Last Update Date: 04/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951644954
  • Enrollment ID: I20190514003111

Medical Identifiers

Medical identifiers for Jessica Kate Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417412917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN215514 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN215514 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Unison Behavioral Health751785224715
K Somanath Md Inc80224884698

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. Jessica Kate Clark allows following entities to bill medicare on her behalf.
Entity NameUnison Behavioral Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528104866
PECOS PAC ID: 7517852247
Enrollment ID: O20040220000112
Entity NameK Somanath Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649998022
PECOS PAC ID: 8022488469
Enrollment ID: O20230118001676
Entity NameRenewed Hope Health & Wellness, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740026541
PECOS PAC ID: 7517498660
Enrollment ID: O20241001001342

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. Jessica Kate 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
Jessica Kate Clark, APRN
1007 Mary St,
Waycross, GA 31503-3823

Ph: (800) 342-8168		Jessica Kate Clark, APRN
1007 Mary St,
Waycross, GA 31503-3823

Ph: (800) 342-8168

Reviews and Comments


Nurse Practitioner Nurses in Waycross, GA

Barbara D Pittman, FNP-C
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Practice Location: 615a Pendleton St, Waycross, GA 31501
Phone: 912-548-0710    Fax: 912-548-0071
Robert Scott Jacobs, NP
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Practice Location: 403a Lister St, Waycross, GA 31501
Phone: 912-283-4422    Fax: 912-283-4866
Mrs. Dana Marie Morgan, FNP-BC, PMHNP-BC
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Practice Location: 1610 Alice St, Waycross, GA 31501
Phone: 912-584-3263    Fax: 912-809-2296
Mr. James Aaron Houser, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1206 Alice St, Waycross, GA 31501
Phone: 912-285-1140    Fax: 912-285-1125
Dawn Lynn Driggers, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1710 1/2 Alice St, Waycross, GA 31501
Phone: 912-614-3768    
Kala Hodges, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 409 Uvalda St, Waycross, GA 31501
Phone: 229-391-3500    
Ms. Andrea M Deloach, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 711 Knight Ave, Waycross, GA 31501
Phone: 912-283-9423    Fax: 912-283-2946

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.