Mr Benjamin S Clark, FNP in Sneedville, TN - Medicare Nurse Practitioner

Mr Benjamin S Clark, FNP is a medicare enrolled "Nurse Practitioner" in Sneedville, Tennessee. His current practice location is 1861 Main Street, Sneedville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 733-2131.

Mr Benjamin S Clark is licensed to practice in Tennessee (license number 12038) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497708572.

Contact Information

	Mr Benjamin S Clark, FNP
	1861 Main Street, Sneedville, TN 37869
	(423) 733-2131
	(423) 733-1055

Map and Direction

Provider's Profile

Full Name	Mr Benjamin S Clark
Gender	Male
Speciality	Nurse Practitioner
Location	1861 Main Street, Sneedville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497708572
Provider Enumeration Date: 05/18/2006
Last Update Date: 07/13/2008

Medicare PECOS Information:

PECOS PAC ID: 4385657568
Enrollment ID: I20100212000245

Medical Identifiers

Medical identifiers for Mr Benjamin S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497708572	NPI	-	NPPES
3643301	Medicaid	TN
4126469	Other	TN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	12038 (Tennessee)	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. Mr Benjamin S Clark allows following entities to bill medicare on his behalf.

Entity Name	Baldwin Emergency Physicians, P.c..
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154378271 PECOS PAC ID: 4688627946 Enrollment ID: O20050225000807

Entity Name	Mobile Emergency Physicians, Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881934982 PECOS PAC ID: 4981840832 Enrollment ID: O20130418000512

Entity Name	Urgent Care 59 Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093415671 PECOS PAC ID: 6002274925 Enrollment ID: O20230623002674

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. Mr Benjamin S 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
Mr Benjamin S Clark, FNP Po Box 850, Attn Wanda Brown, Rogersville, TN 37857-0850 Ph: (423) 733-2131	Mr Benjamin S Clark, FNP 1861 Main Street, Sneedville, TN 37869 Ph: (423) 733-2131

Reviews and Comments

Nurse Practitioner Nurses in Sneedville, TN

Vincent Anthony Bergamo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1861 Main St, Sneedville, TN 37869 Phone: 423-733-2131 Fax: 423-733-1055
Nancy P. Seal, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Main St, Sneedville, TN 37869 Phone: 423-439-4515 Fax: 423-439-4060
Melinda Fleenor, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 Main Street, Sneedville, TN 37869 Phone: 423-439-4515 Fax: 423-439-4515
Lisa Ann Trent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1861 Main St, Sneedville, TN 37869 Phone: 423-733-2131 Fax: 423-733-1055
Kimberly R Ferguson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1861 Main St, Sneedville, TN 37869 Phone: 423-733-2131 Fax: 423-733-1055
Kandi Sunshine Reece, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1861 Main St, Sneedville, TN 37869 Phone: 423-733-2131 Fax: 423-733-1055
Mary Jo Robbins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375-c Court Street, Sneedville, TN 37869 Phone: 423-733-2121 Fax: 423-733-4563

Mr Benjamin S Clark, FNP - Medicare Nurse Practitioner in Sneedville, TN