Ms Bonnie Lou Clark, PMHNP-BC in Jeffersonville, IN

Ms Bonnie Lou Clark, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jeffersonville, Indiana. Her current practice location is 131 E Court Ave Ste 101, Jeffersonville, Indiana. You can reach out to her office (for appointments etc.) via phone at (502) 208-1357.

Ms Bonnie Lou Clark is licensed to practice in Indiana (license number 71003710A) 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 1831472133.

Contact Information

	Ms Bonnie Lou Clark, PMHNP-BC
	131 E Court Ave Ste 101, Jeffersonville, IN 47130-3600
	(502) 208-1357
	(812) 248-3388

Map and Direction

Provider's Profile

Full Name	Ms Bonnie Lou Clark
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	131 E Court Ave Ste 101, Jeffersonville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831472133
Provider Enumeration Date: 09/22/2011
Last Update Date: 04/03/2026

Medicare PECOS Information:

PECOS PAC ID: 6305019217
Enrollment ID: I20111109000074

Medical Identifiers

Medical identifiers for Ms Bonnie Lou Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831472133	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71003710A (Indiana)	Primary
363LF0000X	Nurse Practitioner - Family	71003710A (Indiana)	Secondary

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 Bonnie Lou Clark allows following entities to bill medicare on her behalf.

Entity Name	Behavioral Healthcare Management Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225451024 PECOS PAC ID: 1557592474 Enrollment ID: O20140319002325

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 Bonnie Lou 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 Bonnie Lou Clark, PMHNP-BC 3018 Plantation Dr, Sellersburg, IN 47172-9174 Ph: (502) 208-1357	Ms Bonnie Lou Clark, PMHNP-BC 131 E Court Ave Ste 101, Jeffersonville, IN 47130-3600 Ph: (502) 208-1357

Reviews and Comments

Nurse Practitioner Nurses in Jeffersonville, IN

Ms. Michelle F Boone, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Sparks Ave Ste 300, Jeffersonville, IN 47130 Phone: 812-283-2364 Fax: 812-283-2369
Lauren Nicole Helton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Blvd, Jeffersonville, IN 47130 Phone: 812-282-3899 Fax: 812-282-4172
Danielle Thurman, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Spring St, Jeffersonville, IN 47130 Phone: 812-284-2273
Elissa Vaughn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1036 Sharon Dr, Jeffersonville, IN 47130 Phone: 812-280-6606
Virginia L Nisbet, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Spring St Ste 200, Jeffersonville, IN 47130 Phone: 812-288-8360 Fax: 812-288-8375
Amy Irene Surber, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Clinic #3975, 1002 Spring Street, Jeffersonville, IN 47130 Phone: 812-282-2256
Bradford Nathanial Whitehead, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1036 Sharon Dr, Jeffersonville, IN 47130 Phone: 812-280-2080

Ms Bonnie Lou Clark, PMHNP-BC - Medicare Nurse Practitioner in Jeffersonville, IN