Mr Daniel Clark, NURSE PRACITIONER in Lake Orion, MI

Mr Daniel Clark, NURSE PRACITIONER is a medicare enrolled "Nurse Practitioner - Family" in Lake Orion, Michigan. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mclaren Flint and his current practice location is 3451 Bald Mountain Rd, Lake Orion, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 330-5808.

Mr Daniel Clark is licensed to practice in Michigan (license number 4704269853) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043613649.

Contact Information

	Mr Daniel Clark, NURSE PRACITIONER
	3451 Bald Mountain Rd, Lake Orion, MI 48360-2401
	(248) 330-5808
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Daniel Clark
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	3451 Bald Mountain Rd, Lake Orion, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Daniel Clark graduated from nursing school in 2014

NPI Data:

NPI Number: 1043613649
Provider Enumeration Date: 09/27/2014
Last Update Date: 09/27/2014

Medicare PECOS Information:

PECOS PAC ID: 4789965617
Enrollment ID: I20170106001580

Medical Identifiers

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

Identifier	Type	State	Issuer
1043613649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704269853 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mclaren Flint	Flint, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mclaren Flint	8628975497	140

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 Daniel Clark allows following entities to bill medicare on his behalf.

Entity Name	Mclaren Macomb
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396014601 PECOS PAC ID: 8921912791 Enrollment ID: O20040120001000

Entity Name	Mclaren Flint
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275807372 PECOS PAC ID: 8628975497 Enrollment ID: O20120620000454

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 Daniel 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 Daniel Clark, NURSE PRACITIONER 3451 Bald Mountain Rd, Lake Orion, MI 48360-2401 Ph: (248) 330-5808	Mr Daniel Clark, NURSE PRACITIONER 3451 Bald Mountain Rd, Lake Orion, MI 48360-2401 Ph: (248) 330-5808

Reviews and Comments

Nurse Practitioner Nurses in Lake Orion, MI

Amy Olds, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 S Lapeer Rd Ste 102, Lake Orion, MI 48360 Phone: 248-232-0100
Mrs. Jennifer Myers, MSN NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1428 S Lapeer Rd, Lake Orion, MI 48360 Phone: 248-693-0543
Brittany Shamoun, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 S Lapeer Rd Ste 100, Lake Orion, MI 48360 Phone: 248-693-3551
Karma Maxwell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3812 High Grove Way, Lake Orion, MI 48360 Phone: 248-802-4719
Ms. Susan Louise Lyons, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 785 N Lapeer Rd, Suite 100, Lake Orion, MI 48362 Phone: 248-693-4271
Jeffrey Thomas Snyder, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 S Lapeer Rd Ste 102, Lake Orion, MI 48360 Phone: 248-232-0100

Mr Daniel Clark, NURSE PRACITIONER - Medicare Nurse Practitioner in Lake Orion, MI