Jonathan Andrew Clark, APRN - Medicare Nurse Practitioner in St Petersburg, FL

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Jonathan Andrew Clark, APRN is a medicare enrolled "Nurse Practitioner - Family" in St Petersburg, Florida. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Transitions Healthcare Llc and his current practice location is 5042 12th Ave N, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 631-2091.

Jonathan Andrew Clark is licensed to practice in Florida (license number 11000850) 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 1790246270.

Contact Information

Jonathan Andrew Clark, APRN
5042 12th Ave N,
St Petersburg, FL 33710-6011
(727) 631-2091
Not Available

Map and Direction




Provider's Profile

Full NameJonathan Andrew Clark
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location5042 12th Ave N, St Petersburg, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jonathan Andrew Clark graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1790246270
  • Provider Enumeration Date: 03/27/2019
  • Last Update Date: 03/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6507199890
  • Enrollment ID: I20190530002427

Medical Identifiers

Medical identifiers for Jonathan Andrew Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790246270NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11000850 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pinnacle Home Care Of Pinellas IncTarpon springs, FLHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Transitions Healthcare Llc589016663123

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. Jonathan Andrew Clark allows following entities to bill medicare on his behalf.
Entity NameEpisource Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225390289
PECOS PAC ID: 7911009451
Enrollment ID: O20200515002219
Entity NameTransitions Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821707407
PECOS PAC ID: 5890166631
Enrollment ID: O20230113001986

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. Jonathan Andrew 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
Jonathan Andrew Clark, APRN
5042 12th Ave N,
St Petersburg, FL 33710-6011

Ph: (727) 631-2091		Jonathan Andrew Clark, APRN
5042 12th Ave N,
St Petersburg, FL 33710-6011

Ph: (727) 631-2091

Reviews and Comments


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Phone: 727-767-3318    Fax: 727-767-8002
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Phone: 727-767-4313    Fax: 727-767-4391
Megan Deedrich, FNP-BC
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Joanne Elizabeth Sastamoinen, ARNP
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Phone: 727-341-4870    
Kathryn Steckel, C.N.M
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Medicare: Accepting Medicare Assignments
Practice Location: 1600 Dr Martin Luther King Jr St N, St Petersburg, FL 33704
Phone: 727-456-0750    Fax: 727-456-0751
Mrs. Shanna Ann Sherman, ARNP
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Medicare: Medicare Enrolled
Practice Location: 601 5th St S, Suite 605, St Petersburg, FL 33701
Phone: 727-822-4300    Fax: 727-456-1399

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.