Katelynn Clark, DNP-FNP - Medicare Nurse Practitioner in Maxton, NC

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Katelynn Clark, DNP-FNP is a medicare enrolled "Nurse Practitioner - Family" in Maxton, North Carolina. Her current practice location is 114 Cabinet Shop Rd, Maxton, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 785-5351.

Katelynn Clark is licensed to practice in North Carolina (license number F07240676) 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 1346087764.

Contact Information

Katelynn Clark, DNP-FNP
114 Cabinet Shop Rd,
Maxton, NC 28364-8963
(910) 785-5351
Not Available

Map and Direction




Provider's Profile

Full NameKatelynn Clark
GenderFemale
SpecialityNurse Practitioner - Family
Location114 Cabinet Shop Rd, Maxton, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346087764
  • Provider Enumeration Date: 07/12/2024
  • Last Update Date: 07/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5597290122
  • Enrollment ID: I20241120000169

Medical Identifiers

Medical identifiers for Katelynn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346087764NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F07240676 (North Carolina)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. Katelynn Clark allows following entities to bill medicare on her behalf.
Entity NameLiberty Medical Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174920300
PECOS PAC ID: 3678898756
Enrollment ID: O20150212000855

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. Katelynn 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
Katelynn Clark, DNP-FNP
114 Cabinet Shop Rd,
Maxton, NC 28364-8963

Ph: (910) 785-5351		Katelynn Clark, DNP-FNP
114 Cabinet Shop Rd,
Maxton, NC 28364-8963

Ph: (910) 785-5351

Reviews and Comments


Nurse Practitioner Nurses in Maxton, NC

Nikia Delores Ritchie, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364
Phone: 910-844-5253    Fax: 910-844-3290
Angela Pruitt Fields, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364
Phone: 910-844-5253    
Tina Harris Jacobs, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 610 E Martin Luther King Jr Dr, Maxton, NC 28364
Phone: 910-844-5253    Fax: 910-844-3290
Breeonna Leigh Lowry, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364
Phone: 910-844-5253    Fax: 910-844-3290
Heather Lewis, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2174 Mcgirt Gin Rd, Maxton, NC 28364
Phone: 910-674-7608    

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.