Lea L Clark, - Medicare Nurse Practitioner in Yates City, IL

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Lea L Clark, is a medicare enrolled "Nurse Practitioner - Family" in Yates City, Illinois. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Mary Medical Center and her current practice location is 717 Knox County Highway 18, Yates City, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 264-2457.

Lea L Clark is licensed to practice in Illinois (license number 209021458) 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 1255910386.

Contact Information

Lea L Clark,
717 Knox County Highway 18,
Yates City, IL 61572
(309) 264-2457
Not Available

Map and Direction




Provider's Profile

Full NameLea L Clark
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location717 Knox County Highway 18, Yates City, Illinois
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:
  • Lea L Clark graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1255910386
  • Provider Enumeration Date: 04/06/2021
  • Last Update Date: 09/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204234982
  • Enrollment ID: I20211011001242

Medical Identifiers

Medical identifiers for Lea L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255910386NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209021458 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209021458 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Osf Home Health-western RegionGalesburg, ILHome health agency
St Mary Medical CenterGalesburg, ILHospital
Saint Francis Medical CenterPeoria, ILHospital
Osf Holy Family Medical CenterMonmouth, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Mary Medical Center862803801546

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. Lea L Clark allows following entities to bill medicare on her behalf.
Entity NameSt Mary Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962467670
PECOS PAC ID: 8628038015
Enrollment ID: O20041011000420
Entity NameOsf Healthcare System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679606073
PECOS PAC ID: 4284541806
Enrollment ID: O20070503000249
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Lea L 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
Lea L Clark,
834 N Seminary St, Ste 201,
Galesburg, IL 61401-2898

Ph: (309) 343-7195		Lea L Clark,
717 Knox County Highway 18,
Yates City, IL 61572

Ph: (309) 264-2457

Reviews and Comments


Nurse Practitioner Nurses in Yates City, IL


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.