Lori Clark, ACNP in Elyria, OH - Medicare Nurse Practitioner

Lori Clark, ACNP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Elyria, Ohio. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cape Coral Hospitalists Inc and her current practice location is 630 E River St, Elyria, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 329-7500.

Lori Clark is licensed to practice in Ohio (license number APRN.CNP.026206) 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 1568094530.

Contact Information

	Lori Clark, ACNP
	630 E River St, Elyria, OH 44035-5902
	(440) 329-7500
	Not Available

Map and Direction

Provider's Profile

Full Name	Lori Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	630 E River St, Elyria, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lori Clark graduated from nursing school in 2019

NPI Data:

NPI Number: 1568094530
Provider Enumeration Date: 02/07/2020
Last Update Date: 02/13/2020

Medicare PECOS Information:

PECOS PAC ID: 2769810969
Enrollment ID: I20221208003112

Medical Identifiers

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

Identifier	Type	State	Issuer
1568094530	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	026206 (Ohio)	Secondary
363LC0200X	Nurse Practitioner - Critical Care Medicine	APRN.CNP.026206 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lehigh Regional Medical Center	Lehigh acres, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cape Coral Hospitalists Inc	2961504923	28

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. Lori Clark allows following entities to bill medicare on her behalf.

Entity Name	Nchmd Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831120195 PECOS PAC ID: 9436139565 Enrollment ID: O20040721000254

Entity Name	Premier Critical Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669064192 PECOS PAC ID: 6709275027 Enrollment ID: O20211108001528

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. Lori 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
Lori Clark, ACNP 6347 Livia Ln, Medina, OH 44256-7765 Ph: (440) 454-0708	Lori Clark, ACNP 630 E River St, Elyria, OH 44035-5902 Ph: (440) 329-7500

Reviews and Comments

Nurse Practitioner Nurses in Elyria, OH

Bretzyl M Liscoe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515
Nicole Fatemeh Scavuzzo, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035 Phone: 440-406-8153 Fax: 440-406-8312
Mary Lauretta Gilchrist, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Ms. Amy M. King, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Amy M Kovalsky, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Mrs. Brenda J Life, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035 Phone: 440-326-4120 Fax: 440-322-3454
Jennifer Gelske, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41201 Schadden Rd, Elyria, OH 44035 Phone: 440-324-0400 Fax: 440-324-0441

Lori Clark, ACNP - Medicare Nurse Practitioner in Elyria, OH