Ms Wanda Kaye Clark, FNP - Nurse Practitioner in Rock Hill, SC

Ms Wanda Kaye Clark, FNP is a Nurse Practitioner based in Rock Hill, South Carolina. Ms Wanda Kaye Clark is licensed to practice in South Carolina (license number 1484) and her current practice location is 1151 Camden Ave, Rock Hill, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 909-6363.

NPI number for Ms Wanda Kaye Clark is 1043213457 and her current mailing address is 1151 Camden Ave, Rock Hill, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043213457.

Contact Information

Ms Wanda Kaye Clark, FNP
1151 Camden Ave,
Rock Hill, SC 29732-3014
(803) 909-6363
(803) 909-6364

Map and Direction




Provider's Profile

Full NameMs Wanda Kaye Clark
GenderFemale
SpecialityNurse Practitioner
Location1151 Camden Ave, Rock Hill, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043213457
  • Provider Enumeration Date: 05/31/2005
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Ms Wanda Kaye Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043213457NPI-NPPES
GP3059MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1484 (South Carolina)Primary

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 Wanda Kaye Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Wanda Kaye Clark, FNP
1151 Camden Ave,
Rock Hill, SC 29732-3014

Ph: (803) 909-6363
Ms Wanda Kaye Clark, FNP
1151 Camden Ave,
Rock Hill, SC 29732-3014

Ph: (803) 909-6363

Reviews and Comments


Nurse Practitioner Nurses in Rock Hill, SC

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Sarah Elizabeth Christ, FNP
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Medicare: Not Enrolled in Medicare
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Phone: 803-324-7607    Fax: 800-332-4409
Mr. Gerald Alfred Bracete, FNP-BC
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Sarah Lyn Ruhland, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 197 Piedmont Blvd Ste 100, Rock Hill, SC 29732
Phone: 803-324-1950    Fax: 803-324-1933

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.