Katherine Clark, AGNP-C - Medicare Nurse Practitioner in Whitsett, NC

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Katherine Clark, AGNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Whitsett, North Carolina. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Moses Cone Medical Services Inc and her current practice location is 940 Golf House Ct E, Whitsett, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 449-9838.

Katherine Clark is licensed to practice in North Carolina (license number 234589) 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 1043678170.

Contact Information

Katherine Clark, AGNP-C
940 Golf House Ct E,
Whitsett, NC 27377-9296
(336) 449-9838
Not Available

Map and Direction




Provider's Profile

Full NameKatherine Clark
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location940 Golf House Ct E, Whitsett, North Carolina
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:
  • Katherine Clark graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1043678170
  • Provider Enumeration Date: 02/03/2016
  • Last Update Date: 09/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4880990373
  • Enrollment ID: I20160309001602

Medical Identifiers

Medical identifiers for Katherine Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043678170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 234589 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alamance Regional Medical CenterBurlington, NCHospital
Moses H. Cone Memorial Hospital, TheGreensboro, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Moses Cone Medical Services Inc2769395458201

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. Katherine Clark allows following entities to bill medicare on her behalf.
Entity NameMoses Cone Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427095249
PECOS PAC ID: 2769395458
Enrollment ID: O20040128000519

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. Katherine 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
Katherine Clark, AGNP-C
2004 Otter Creek Dr,
Whitsett, NC 27377-9322

Ph: (918) 691-1134		Katherine Clark, AGNP-C
940 Golf House Ct E,
Whitsett, NC 27377-9296

Ph: (336) 449-9838

Reviews and Comments


Nurse Practitioner Nurses in Whitsett, NC

Tabitha Dugal, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 940 Golf House Ct E, Whitsett, NC 27377
Phone: 364-499-8483    
Natashia Broadnax, PMHNP-BC, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 952 Golf House Rd W Ste Ina, Whitsett, NC 27377
Phone: 336-383-9988    
Karren Lee Patterson, ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 940 Golf House Ct E, Court E, Whitsett, NC 27377
Phone: 336-449-9848    
Angelique Sheets, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 941 Center Crest Dr, Whitsett, NC 27377
Phone: 336-446-1141    Fax: 336-446-0346
Regina Baity, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 940 Golf House Ct E, Whitsett, NC 27377
Phone: 336-499-9848    

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.