Ms Patricia Clark, ARNP - Medicare Nurse Practitioner in Bartow, FL

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Ms Patricia Clark, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bartow, Florida. Her current practice location is 1255 Golfview Ave, Bartow, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 519-3750.

Ms Patricia Clark is licensed to practice in Florida (license number ARNP1843682) 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 1114119070.

Contact Information

Ms Patricia Clark, ARNP
1255 Golfview Ave,
Bartow, FL 33830-6736
(863) 519-3750
(863) 519-3753

Map and Direction




Provider's Profile

Full NameMs Patricia Clark
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1255 Golfview Ave, Bartow, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114119070
  • Provider Enumeration Date: 08/15/2007
  • Last Update Date: 08/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8325284029
  • Enrollment ID: I20130425000358

Medical Identifiers

Medical identifiers for Ms Patricia Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114119070NPI-NPPES
309082501MedicaidFL
ARNP1843682OtherFLLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner ARNP1843682 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health ARNP1843682 (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. Ms Patricia Clark allows following entities to bill medicare on her behalf.
Entity NamePeace River Center For Personal Development Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821097767
PECOS PAC ID: 7719877927
Enrollment ID: O20040319000056

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 Patricia 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 AddressPractice Location Address
Ms Patricia Clark, ARNP
Po Box 1559,
Bartow, FL 33831-1559

Ph: (863) 519-0575		Ms Patricia Clark, ARNP
1255 Golfview Ave,
Bartow, FL 33830-6736

Ph: (863) 519-3750

Reviews and Comments


Nurse Practitioner Nurses in Bartow, FL

Efrosini Xanthoudakis, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Osprey Blvd, Bartow, FL 33830
Phone: 863-533-8111    
Jeena Mathew,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1170 Nevermore Cir, Bartow, FL 33830
Phone: 863-512-1055    
Sarah Anne Crowley,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1260 Golfview Ave, Bartow, FL 33830
Phone: 863-519-3900    
Yesenia Maria Martin, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1255 Golfview Ave, Bartow, FL 33830
Phone: 863-519-0575    Fax: 863-500-3776
Sandra Kay Heisler,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1260 Golfview Ave, Bartow, FL 33830
Phone: 863-519-3900    
Lois Hall, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1255 Brice Blvd, Bartow, FL 33830
Phone: 863-519-7900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.