Letricia Lenise Clark, NURSE PRACTITIONER - Medicare Nurse Practitioner in Warren, MI

  1. Home
  2. Nurse Practitioner
  3. MI
  4. Warren
Letricia Lenise Clark, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Warren, Michigan. Her current practice location is 28800 Ryan Rd Ste 320, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 582-0500.

Letricia Lenise Clark is licensed to practice in Michigan (license number 4704261814) 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 1255844023.

Contact Information

Letricia Lenise Clark, NURSE PRACTITIONER
28800 Ryan Rd Ste 320,
Warren, MI 48092-4272
(586) 582-0500
(586) 834-2231

Map and Direction




Provider's Profile

Full NameLetricia Lenise Clark
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location28800 Ryan Rd Ste 320, Warren, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255844023
  • Provider Enumeration Date: 11/14/2017
  • Last Update Date: 11/17/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0244598555
  • Enrollment ID: I20171214001267

Medical Identifiers

Medical identifiers for Letricia Lenise Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255844023NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704261814 (Michigan)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. Letricia Lenise Clark allows following entities to bill medicare on her behalf.
Entity NameOakland Integrated Healthcare Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316214299
PECOS PAC ID: 9436313004
Enrollment ID: O20120611000523

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. Letricia Lenise 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
Letricia Lenise Clark, NURSE PRACTITIONER
28800 Ryan Rd Ste 320,
Warren, MI 48092-4272

Ph: (586) 582-0500		Letricia Lenise Clark, NURSE PRACTITIONER
28800 Ryan Rd Ste 320,
Warren, MI 48092-4272

Ph: (586) 582-0500

Reviews and Comments


Nurse Practitioner Nurses in Warren, MI

Sharice Ratia Jhons, MSN, RN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 27500 Dequindre Rd, Warren, MI 48092
Phone: 586-764-3465    
Rowena Callo Teodoro, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 27560 Hoover Rd., Warren, MI 48093
Phone: 586-757-6400    Fax: 586-757-8400
Mrs. Lauren Ashley Zipay, AGACNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093
Phone: 586-573-5000    
Olga Dmitryuk,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093
Phone: 586-216-9253    
Alexander Cole-selvaggio, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 27101 Schoenherr Rd, Warren, MI 48088
Phone: 586-758-5800    Fax: 586-758-5841
Jenny Dessinger, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 27560 Hoover Rd, Warren, MI 48093
Phone: 586-757-6400    
Randon Carl Jenkins,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091
Phone: 313-416-6262    

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.