Melissa G Clark, APRN - Medicare Nurse Practitioner in Plattsburgh, NY

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Melissa G Clark, APRN is a medicare enrolled "Nurse Practitioner - Family" in Plattsburgh, New York. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lake Champlain Ob/gyn, Pc and her current practice location is 96 Court St, Plattsburgh, New York. You can reach out to her office (for appointments etc.) via phone at (518) 562-2369.

Melissa G Clark is licensed to practice in New York (license number 3379451) 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 1407103005.

Contact Information

Melissa G Clark, APRN
96 Court St,
Plattsburgh, NY 12901-2733
(518) 562-2369
Not Available

Map and Direction




Provider's Profile

Full NameMelissa G Clark
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location96 Court St, Plattsburgh, New York
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:
  • Melissa G Clark graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1407103005
  • Provider Enumeration Date: 08/14/2012
  • Last Update Date: 09/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8022269851
  • Enrollment ID: I20140207001330

Medical Identifiers

Medical identifiers for Melissa G Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407103005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3379451 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Champlain Valley Physicians Hospital Medical CtrPlattsburgh, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Champlain Ob/gyn, Pc66088395925

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. Melissa G Clark allows following entities to bill medicare on her behalf.
Entity NameChamplain Valley Physicians Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124189782
PECOS PAC ID: 2769396878
Enrollment ID: O20031121000623
Entity NameLake Champlain Ob/gyn, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891708095
PECOS PAC ID: 6608839592
Enrollment ID: O20041111000222
Entity NameLake City Primary Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164850053
PECOS PAC ID: 0143458299
Enrollment ID: O20140116001465
Entity NameCircle Medical Care Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780425447
PECOS PAC ID: 0749710465
Enrollment ID: O20250211002364

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. Melissa G 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
Melissa G Clark, APRN
96 Court St,
Plattsburgh, NY 12901-2733

Ph: (518) 562-2369		Melissa G Clark, APRN
96 Court St,
Plattsburgh, NY 12901-2733

Ph: (518) 562-2369

Reviews and Comments


Nurse Practitioner Nurses in Plattsburgh, NY

Alyssa Lynn Wilson, FNP
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Practice Location: 75 Beekman St, Plattsburgh, NY 12901
Phone: 518-561-2000    
Rebecca Carter,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 206 Cornelia St Ste 104, Plattsburgh, NY 12901
Phone: 518-562-7557    Fax: 518-562-7559
Mrs. Mary Anne Carter, C.N.P.
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Medicare: Not Enrolled in Medicare
Practice Location: 25 Degrandpre Way, Plattsburgh, NY 12901
Phone: 518-563-3260    Fax: 518-561-2877
Joshua Michael Korb, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 154 Prospect Ave, Plattsburgh, NY 12901
Phone: 518-563-5440    
Emily Allison Ashline,
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Medicare: Accepting Medicare Assignments
Practice Location: 75 Beekman St, Plattsburgh, NY 12901
Phone: 518-561-2000    
Sarah Beth Wood, MSN, FNP, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8 Broad St, Plattsburgh, NY 12901
Phone: 518-825-1555    
Suzanne Laborde, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 25 Degrandpre Way, Plattsburgh, NY 12901
Phone: 518-824-2563    Fax: 833-448-3030

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.