Mrs Karlee Clark, APRN in Gulf Breeze, FL - Medicare Nurse Practitioner

Mrs Karlee Clark, APRN is a medicare enrolled "Nurse Practitioner" in Gulf Breeze, Florida. Her current practice location is 3866 Bay Wind Dr, Gulf Breeze, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 932-9257.

Mrs Karlee Clark is licensed to practice in Florida (license number 11001498) 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 1932665890.

Contact Information

	Mrs Karlee Clark, APRN
	3866 Bay Wind Dr, Gulf Breeze, FL 32563-2992
	(850) 932-9257
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Karlee Clark
Gender	Female
Speciality	Nurse Practitioner
Location	3866 Bay Wind Dr, Gulf Breeze, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932665890
Provider Enumeration Date: 02/15/2019
Last Update Date: 06/15/2020

Medicare PECOS Information:

PECOS PAC ID: 3173863982
Enrollment ID: I20190313003098

Medical Identifiers

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

Identifier	Type	State	Issuer
1932665890	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11001498 (Florida)	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. Mrs Karlee Clark allows following entities to bill medicare on her behalf.

Entity Name	Physician Services Group Of Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235775396 PECOS PAC ID: 7719314830 Enrollment ID: O20200228001953

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 Karlee 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 Karlee Clark, APRN 3866 Bay Wind Dr, Gulf Breeze, FL 32563-2992 Ph: () -	Mrs Karlee Clark, APRN 3866 Bay Wind Dr, Gulf Breeze, FL 32563-2992 Ph: (850) 932-9257

Reviews and Comments

Nurse Practitioner Nurses in Gulf Breeze, FL

Fallon Crews, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Gulf Breeze Pkwy Ste 300, Gulf Breeze, FL 32561 Phone: 850-932-5055 Fax: 850-932-1404
Dr. Kimberly A Womack, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1157 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-677-0737
Mrs. Renea Kathleen Clowdsley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Gulf Breeze Pkwy Ste 14, Gulf Breeze, FL 32561 Phone: 850-990-9100 Fax: 850-396-0142
Kimberly Brooke Jeanne Nipp, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Nightingale Ln, Gulf Breeze, FL 32561 Phone: 850-934-8138
Genei S Bougher, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Gulf Breeze Pkwy, Suite 300, Gulf Breeze, FL 32561 Phone: 850-932-5055 Fax: 850-932-1404
Ms. Jean Cozad Lyon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Gulf Breeze Pkwy Ste 18, Gulf Breeze, FL 32561 Phone: 775-885-6940
Emily Jane Stinnett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-934-0030

Mrs Karlee Clark, APRN - Medicare Nurse Practitioner in Gulf Breeze, FL