Mrs Teresa M Clark, CRNP in Moosic, PA - Medicare Nurse Practitioner

Mrs Teresa M Clark, CRNP is a medicare enrolled "Nurse Practitioner" in Moosic, Pennsylvania. She graduated from nursing school in 2001 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Comprehensive Pain Management Specialists , Llc and her current practice location is 340 Montage Mountain Rd, Moosic, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 346-3686.

Mrs Teresa M Clark is licensed to practice in Pennsylvania (license number TP006932B) 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 1306956172.

Contact Information

	Mrs Teresa M Clark, CRNP
	340 Montage Mountain Rd, Moosic, PA 18507-1782
	(570) 346-3686
	(570) 558-6838

Map and Direction

Provider's Profile

Full Name	Mrs Teresa M Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	24 Years
Location	340 Montage Mountain Rd, Moosic, Pennsylvania
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 Teresa M Clark graduated from nursing school in 2001

NPI Data:

NPI Number: 1306956172
Provider Enumeration Date: 08/30/2006
Last Update Date: 09/02/2010

Medicare PECOS Information:

PECOS PAC ID: 1850366410
Enrollment ID: I20040827000966

Medical Identifiers

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

Identifier	Type	State	Issuer
1306956172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	TP006932B (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wilkes-barre General Hospital	Wilkes-barre, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Comprehensive Pain Management Specialists , Llc	4880875426	4

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 Teresa M Clark allows following entities to bill medicare on her behalf.

Entity Name	Comprehensive Pain Management Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841591211 PECOS PAC ID: 4880875426 Enrollment ID: O20110302000174

Entity Name	Meditelecare Of Pennsylvania Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396351847 PECOS PAC ID: 8527488030 Enrollment ID: O20201022002321

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 Teresa M 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 Teresa M Clark, CRNP 340 Montage Mountain Rd, Moosic, PA 18507-1782 Ph: (570) 346-3686	Mrs Teresa M Clark, CRNP 340 Montage Mountain Rd, Moosic, PA 18507-1782 Ph: (570) 346-3686

Reviews and Comments

Nurse Practitioner Nurses in Moosic, PA

Marie T Zedalis, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838
Tomislav Kucuk, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Glenmaura National Boulevard, Moosic, PA 18507 Phone: 570-808-7300
Nathan Jarick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686
Amanda Leigh Craven, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686
Jessica M Sabato, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838
Lula Thomas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838

Mrs Teresa M Clark, CRNP - Medicare Nurse Practitioner in Moosic, PA