Sheri R Clark, FNP in Medford, OR - Medicare Nurse Practitioner

Sheri R Clark, FNP is a medicare enrolled "Nurse Practitioner" in Medford, Oregon. Her current practice location is 1307 W Main St, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 618-1314.

Sheri R Clark is licensed to practice in Oregon (license number 200450085NP) 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 1821095241.

Contact Information

	Sheri R Clark, FNP
	1307 W Main St, Medford, OR 97501-2936
	(541) 618-1314
	Not Available

Map and Direction

Provider's Profile

Full Name	Sheri R Clark
Gender	Female
Speciality	Nurse Practitioner
Location	1307 W Main St, Medford, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821095241
Provider Enumeration Date: 06/30/2005
Last Update Date: 09/29/2023

Medicare PECOS Information:

PECOS PAC ID: 6608830872
Enrollment ID: I20041117000418

Medical Identifiers

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

Identifier	Type	State	Issuer
1821095241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	200450085NP (Oregon)	Primary
363L00000X	Nurse Practitioner	200450085 (Oregon)	Secondary

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. Sheri R Clark allows following entities to bill medicare on her behalf.

Entity Name	La Clinica Del Valle Family Health Care Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851327571 PECOS PAC ID: 0244143089 Enrollment ID: O20031107000627

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. Sheri R 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
Sheri R Clark, FNP 931 Chevy Way, Medford, OR 97504-4127 Ph: (541) 535-6239	Sheri R Clark, FNP 1307 W Main St, Medford, OR 97501-2936 Ph: (541) 618-1314

Reviews and Comments

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Sheri R Clark, FNP - Medicare Nurse Practitioner in Medford, OR