Ms Barbara R Clark, APRN FNP-BC in Jonesboro, GA

Ms Barbara R Clark, APRN FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Jonesboro, Georgia. Her current practice location is 962 Forest Gln, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 231-8568.

Ms Barbara R Clark is licensed to practice in Georgia (license number RN128161) 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 1114058203.

Contact Information

	Ms Barbara R Clark, APRN FNP-BC
	962 Forest Gln, Jonesboro, GA 30238-8829
	(770) 231-8568
	(678) 489-2348

Map and Direction

Provider's Profile

Full Name	Ms Barbara R Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	962 Forest Gln, Jonesboro, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114058203
Provider Enumeration Date: 03/08/2007
Last Update Date: 08/30/2019

Medicare PECOS Information:

PECOS PAC ID: 3870776214
Enrollment ID: I20110323000363

Medical Identifiers

Medical identifiers for Ms Barbara R Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114058203	NPI	-	NPPES
RN128161	Other	GA	RN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WR0006X	Registered Nurse - Registered Nurse First Assistant	RN128161 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN128161 (Georgia)	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. Ms Barbara R Clark allows following entities to bill medicare on her behalf.

Entity Name	Peachtree Immediate Care Fp, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049

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. Ms Barbara R 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
Ms Barbara R Clark, APRN FNP-BC 962 Forest Gln, Jonesboro, GA 30238-8829 Ph: (770) 231-8568	Ms Barbara R Clark, APRN FNP-BC 962 Forest Gln, Jonesboro, GA 30238-8829 Ph: (770) 231-8568

Reviews and Comments

Nurse Practitioner Nurses in Jonesboro, GA

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Ms Barbara R Clark, APRN FNP-BC - Medicare Nurse Practitioner in Jonesboro, GA