Mrs Evan Leigh Clark, APRN in Paducah, KY - Medicare Nurse Practitioner

Mrs Evan Leigh Clark, APRN is a medicare enrolled "Nurse Practitioner - Family" in Paducah, Kentucky. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice James N Eickholz Md Psc and her current practice location is 546 Lone Oak Rd, Paducah, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 441-4850.

Mrs Evan Leigh Clark is licensed to practice in Kentucky (license number 3009995) 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 1083071443.

Contact Information

	Mrs Evan Leigh Clark, APRN
	546 Lone Oak Rd, Paducah, KY 42003-4526
	(270) 441-4850
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Evan Leigh Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	546 Lone Oak Rd, Paducah, Kentucky
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:

Mrs Evan Leigh Clark graduated from nursing school in 2015

NPI Data:

NPI Number: 1083071443
Provider Enumeration Date: 01/15/2016
Last Update Date: 06/16/2020

Medicare PECOS Information:

PECOS PAC ID: 6204131279
Enrollment ID: I20160229002840

Medical Identifiers

Medical identifiers for Mrs Evan Leigh Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083071443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3009995 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Paducah	Paducah, KY	Hospital
Lourdes Hospital	Paducah, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
James N Eickholz Md Psc	1951601129	3

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. Mrs Evan Leigh Clark allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150

Entity Name	James N Eickholz Md Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487687133 PECOS PAC ID: 1951601129 Enrollment ID: O20151120000786

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. Mrs Evan Leigh 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
Mrs Evan Leigh Clark, APRN 291 Kenneth Ln, Hickory, KY 42051-9558 Ph: (270) 705-4684	Mrs Evan Leigh Clark, APRN 546 Lone Oak Rd, Paducah, KY 42003-4526 Ph: (270) 441-4850

Reviews and Comments

Nurse Practitioner Nurses in Paducah, KY

Mrs. Shay Lynn Kirk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Medical Center Dr, Suite 402, Paducah, KY 42003 Phone: 270-442-0103 Fax: 270-442-0109
Mrs. Lisa Joi Oetjen, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4787 Alben Barkley Dr, Paducah, KY 42001 Phone: 270-442-9461 Fax: 270-441-0079
Ms. Leslie Marie Ferguson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-2100
Jessie Meiser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 N 29th St, Paducah, KY 42001 Phone: 270-556-3290
Belinda Jenkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 Kentucky Ave, Suite 301, Paducah, KY 42003 Phone: 270-759-4098 Fax: 270-737-3627
Alexa T Payne, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Kentucky Ave, Suite 601, Paducah, KY 42003 Phone: 270-408-4368 Fax: 270-408-3272
Lindsey Lamb, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 867 Mcguire Ave, Paducah, KY 42001 Phone: 731-394-1145

Mrs Evan Leigh Clark, APRN - Medicare Nurse Practitioner in Paducah, KY