Sara B Lark, FNP is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Pounding Mill, Virginia. Her current practice location is
111 Fashion Rd Ste D, Pounding Mill, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 596-6375.
Sara B Lark is licensed to practice in Virginia (license number 0024172689) 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 1801271440.
Provider's Profile
| Full Name | Sara B Lark |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Family Health |
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| Location | 111 Fashion Rd Ste D, Pounding Mill, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801271440
- Provider Enumeration Date: 07/24/2015
- Last Update Date: 07/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 7315244928
- Enrollment ID: I20180118002573
Medical Identifiers
Medical identifiers for Sara B Lark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801271440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SF0001X | Clinical Nurse Specialist - Family Health | 0024172689 (Virginia) | 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. Sara B Lark allows following entities to bill medicare on her behalf.
| Entity Name | Clinch Professional Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609994284
PECOS PAC ID: 9436259223
Enrollment ID: O20070709000505 |
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| Entity Name | Clinch Valley Physicians Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104265214
PECOS PAC ID: 9133146111
Enrollment ID: O20130821001053 |
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| Entity Name | Town Center Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386163822
PECOS PAC ID: 0547529547
Enrollment ID: O20180122000109 |
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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. Sara B Lark 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 |
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Sara B Lark, FNP
6719 Governor Gc Peery Hwy, Ste 2400,
Richlands, VA 24641
Ph: (276) 836-6778 | Sara B Lark, FNP
111 Fashion Rd Ste D,
Pounding Mill, VA 24637-1200
Ph: (276) 596-6375 |
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