Lisa Clark, - Medicare Nurse Practitioner in New Albany, MS

Lisa Clark, is a medicare enrolled "Nurse Practitioner - Family" in New Albany, Mississippi. Her current practice location is 400 Doctors Dr, New Albany, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 534-5036.

Lisa Clark is licensed to practice in Mississippi (license number R874900) 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 1114317054.

Contact Information

Lisa Clark,
400 Doctors Dr,
New Albany, MS 38652-3109
(662) 534-5036
(662) 534-9696

Map and Direction




Provider's Profile

Full NameLisa Clark
GenderFemale
SpecialityNurse Practitioner - Family
Location400 Doctors Dr, New Albany, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114317054
  • Provider Enumeration Date: 01/30/2015
  • Last Update Date: 01/30/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2860710852
  • Enrollment ID: I20150423002312

Medical Identifiers

Medical identifiers for Lisa Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114317054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R874900 (Mississippi)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. Lisa Clark allows following entities to bill medicare on her behalf.
Entity NameOxford Urology Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548327273
PECOS PAC ID: 1951336148
Enrollment ID: O20050927000599

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. Lisa 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
Lisa Clark,
400 Doctors Dr,
New Albany, MS 38652-3109

Ph: (662) 534-5036
Lisa Clark,
400 Doctors Dr,
New Albany, MS 38652-3109

Ph: (662) 534-5036

Reviews and Comments


Nurse Practitioner Nurses in New Albany, MS

Mrs. Sandra C Durrett, CFNP
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Phone: 662-534-8166    Fax: 662-534-8132
Rhagen Nelson,
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Practice Location: 210 State Highway 30 W, New Albany, MS 38652
Phone: 662-539-7014    
Velma Sue Morrisson, CFNP
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Practice Location: 474 W Bankhead St, New Albany, MS 38652
Phone: 662-534-7777    Fax: 662-534-3050
Angela Orsborn, CFNP
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Medicare: Medicare Enrolled
Practice Location: 200 Hwy 30 W, New Albany, MS 38652
Phone: 662-538-2150    Fax: 662-538-2571
Kara Rushing, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 400 Doctors Dr, New Albany, MS 38652
Phone: 662-534-5036    
Katherine Rose Blassingame, CFNP
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Practice Location: 117 Fairfield Dr, New Albany, MS 38652
Phone: 662-534-0029    
Mrs. Hailey Ott Davis, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 216 Oxford Rd, New Albany, MS 38652
Phone: 662-534-9042    Fax: 662-534-9707

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.