Rachael Clark, in Malmstrom Afb, MT - Medicare Nurse Practitioner

Rachael Clark, is a medicare enrolled "Nurse Practitioner" in Malmstrom Afb, Montana. Her current practice location is 7300 N Perimeter Rd, Malmstrom Afb, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 731-2110.

Rachael Clark is licensed to practice in Montana (license number 207866) 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 1699480202.

Contact Information

	Rachael Clark,
	7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701
	(406) 731-2110
	Not Available

Map and Direction

Provider's Profile

Full Name	Rachael Clark
Gender	Female
Speciality	Nurse Practitioner
Location	7300 N Perimeter Rd, Malmstrom Afb, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699480202
Provider Enumeration Date: 01/18/2023
Last Update Date: 02/27/2025

Medicare PECOS Information:

PECOS PAC ID: 5496128696
Enrollment ID: I20230309001817

Medical Identifiers

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

Identifier	Type	State	Issuer
1699480202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	207866 (Montana)	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. Rachael Clark allows following entities to bill medicare on her behalf.

Entity Name	Benefis Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780968974 PECOS PAC ID: 1153235296 Enrollment ID: O20100629000044

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. Rachael 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
Rachael Clark, 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 Ph: (406) 731-2110	Rachael Clark, 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 Ph: (406) 731-2110

Reviews and Comments

Nurse Practitioner Nurses in Malmstrom Afb, MT

Melissa L Legowski, WHNP, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-731-2133
Jennifer Eileen Brown, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-731-4424
Carol F Nelson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7300 North Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-403-1617
Deborah L Davidson, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-731-3410

Rachael Clark, - Medicare Nurse Practitioner in Malmstrom Afb, MT