Nicole Clark, is a medicare enrolled "Hospitalist" in Everett, Pennsylvania. Her current practice location is 
10455 Lincoln Hwy, Everett, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at 
(814) 623-6161.
Nicole Clark is licensed to practice in Pennsylvania (license number MA061686) 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 1720606130.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Nicole Clark | 
|---|
| Gender | Female | 
|---|
| Speciality |  | 
|---|
| Experience | Years | 
|---|
| Location | 10455 Lincoln Hwy, Everett, 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:
- Nicole Clark attended and graduated from  in 
  NPI Data:
			
			- NPI Number: 1720606130
- Provider Enumeration Date: 07/13/2020
- Last Update Date: 07/18/2023
  Medicare PECOS Information:
- PECOS PAC ID: 
- Enrollment ID: 
 
		 
		 
Medical Identifiers
		Medical identifiers for Nicole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1720606130 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 363A00000X | Physician Assistant | 055-0031682 (Vermont) | Secondary | 
| 208M00000X | Hospitalist | MA061686 (Pennsylvania) | 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. Nicole 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 | 
|---|
		| Nicole Clark, 412 Bunker Hill Rd,
 Everett, PA 15537-5539
 Ph: () -
 | Nicole Clark, 10455 Lincoln Hwy,
 Everett, PA 15537-7046
 Ph: (814) 623-6161
 | 
		
		 
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