Nichole Louise Clark, FNP in Conway, SC - Medicare Nurse Practitioner

Nichole Louise Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Conway, South Carolina. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carolina Quickcare Family Practice, Pllc, Lowcountry Urgent Care Llc and her current practice location is 6372 Adrian Hwy, Conway, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 333-7919.

Nichole Louise Clark is licensed to practice in South Carolina (license number 27159) 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 1780384446.

Contact Information

	Nichole Louise Clark, FNP
	6372 Adrian Hwy, Conway, SC 29526-5603
	(843) 333-7919
	Not Available

Map and Direction

Provider's Profile

Full Name	Nichole Louise Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	6372 Adrian Hwy, Conway, South Carolina
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:

Nichole Louise Clark graduated from nursing school in 2022

NPI Data:

NPI Number: 1780384446
Provider Enumeration Date: 03/09/2023
Last Update Date: 03/09/2023

Medicare PECOS Information:

PECOS PAC ID: 6406211325
Enrollment ID: I20230428000920

Medical Identifiers

Medical identifiers for Nichole Louise Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780384446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	27159 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolina Quickcare Family Practice, Pllc	0840682340	85
Lowcountry Urgent Care Llc	9739210337	69

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. Nichole Louise Clark allows following entities to bill medicare on her behalf.

Entity Name	Carolina Quickcare Family Practice, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881360899 PECOS PAC ID: 0840682340 Enrollment ID: O20220113000087

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. Nichole Louise 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
Nichole Louise Clark, FNP 6372 Adrian Hwy, Conway, SC 29526-5603 Ph: (843) 333-7919	Nichole Louise Clark, FNP 6372 Adrian Hwy, Conway, SC 29526-5603 Ph: (843) 333-7919

Reviews and Comments

Nurse Practitioner Nurses in Conway, SC

Mr. Jonathan D. Briggs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Highway 90, Conway, SC 29526 Phone: 843-399-3377 Fax: 843-399-3378
Linda Lee Queen, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1608 Main St, Conway, SC 29526 Phone: 843-248-4700 Fax: 843-248-3145
Dr. Karen Jeanette Smith, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2996 E Highway 501, Conway, SC 29526 Phone: 843-347-2613
Betsy L Paul, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1113 Church St, Conway, SC 29526 Phone: 843-248-6269
Diana L Taylor, DNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Professional Park Drive, Conway, SC 29526 Phone: 843-234-5678
Stephanie Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-2121
Ms. Linda Sharlene Clinebell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 251 University Blvd Ste A, Conway, SC 29526 Phone: 843-347-0524 Fax: 843-347-0655

Nichole Louise Clark, FNP - Medicare Nurse Practitioner in Conway, SC