Judith Ann Lark, APNP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Menomonee Falls, Wisconsin. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and her current practice location is
W180n8085 Town Hall Rd, Menomonee Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 251-1005.
Judith Ann Lark is licensed to practice in Wisconsin (license number 5365-33) 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 1902239940.
Provider's Profile
Full Name | Judith Ann Lark |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 15 Years |
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Location | W180n8085 Town Hall Rd, Menomonee Falls, Wisconsin |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Judith Ann Lark graduated from nursing school in 2009
NPI Data:
- NPI Number: 1902239940
- Provider Enumeration Date: 08/13/2013
- Last Update Date: 08/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 0941428387
- Enrollment ID: I20140827001790
Medical Identifiers
Medical identifiers for Judith Ann Lark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902239940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 5365-33 (Wisconsin) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1040 |
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. Judith Ann Lark allows following entities to bill medicare on her behalf.
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
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Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
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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. Judith Ann Lark 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 |
Judith Ann Lark, APNP W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 Ph: (262) 255-7172 | Judith Ann Lark, APNP W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 Ph: (262) 251-1005 |
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