Kerry S Clark, CRNP in Winfield, AL - Medicare Nurse Practitioner

Kerry S Clark, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Winfield, Alabama. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Nwmc Winfield Physicians, Llc and his current practice location is 200 Carraway Dr Ste B1, Winfield, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 487-7888.

Kerry S Clark is licensed to practice in Alabama (license number 1-113412) 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 1134754948.

Contact Information

	Kerry S Clark, CRNP
	200 Carraway Dr Ste B1, Winfield, AL 35594-5073
	(205) 487-7888
	(205) 487-7892

Map and Direction

Provider's Profile

Full Name	Kerry S Clark
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	200 Carraway Dr Ste B1, Winfield, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kerry S Clark graduated from nursing school in 2018

NPI Data:

NPI Number: 1134754948
Provider Enumeration Date: 03/12/2020
Last Update Date: 05/05/2023

Medicare PECOS Information:

PECOS PAC ID: 3375967789
Enrollment ID: I20200717002420

Medical Identifiers

Medical identifiers for Kerry S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134754948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-113412 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwest Medical Center	Winfield, AL	Hospital
Fayette Medical Center	Fayette, AL	Hospital
D C H Regional Medical Center	Tuscaloosa, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nwmc Winfield Physicians, Llc	8921324393	7

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. Kerry S Clark allows following entities to bill medicare on his behalf.

Entity Name	Capstone Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821043837 PECOS PAC ID: 7719990316 Enrollment ID: O20060831000248

Entity Name	Nwmc Winfield Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366831380 PECOS PAC ID: 8921324393 Enrollment ID: O20150302000951

Entity Name	Druid City Infusion Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447835897 PECOS PAC ID: 1052736485 Enrollment ID: O20210330000116

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. Kerry S 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 Address	Practice Location Address
Kerry S Clark, CRNP 5947 Highway 269, Parrish, AL 35580-3847 Ph: (205) 686-5113	Kerry S Clark, CRNP 200 Carraway Dr Ste B1, Winfield, AL 35594-5073 Ph: (205) 487-7888

Reviews and Comments

Nurse Practitioner Nurses in Winfield, AL

Sherri Anita Silas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1530 Us Highway 43, Winfield, AL 35594 Phone: 205-487-7720 Fax: 205-487-7864
Mrs. Christy Romano, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Bob Lawrence Drive, Winfield, AL 35594 Phone: 205-487-4535
Angela Dawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1530 Us Highway 43, Winfield, AL 35594 Phone: 205-487-7000
Christopher Shariett, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1530 Us Highway 43, Winfield, AL 35594 Phone: 205-487-7000
Jordan Frederick, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Bob Lawrence Dr, Winfield, AL 35594 Phone: 205-487-4535 Fax: 205-487-8827
Mrs. Alissa Anne Hood, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 644 Tahoe Rd, Winfield, AL 35594 Phone: 205-487-4224 Fax: 205-487-3077

Kerry S Clark, CRNP - Medicare Nurse Practitioner in Winfield, AL