Stephen Clark, NURSE PRACTITIONER in Philadelphia, PA - Medicare Clinical Nurse Specialist

Stephen Clark, NURSE PRACTITIONER is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Philadelphia, Pennsylvania. His current practice location is 1013 E Haines St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 438-1095.

Stephen Clark is licensed to practice in Pennsylvania (license number SP013599) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083039085.

Contact Information

	Stephen Clark, NURSE PRACTITIONER
	1013 E Haines St, Philadelphia, PA 19138-1533
	(215) 438-1095
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephen Clark
Gender	Male
Speciality	Clinical Nurse Specialist - Family Health
Location	1013 E Haines St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083039085
Provider Enumeration Date: 02/27/2014
Last Update Date: 02/27/2014

Medicare PECOS Information:

PECOS PAC ID: 1153553524
Enrollment ID: I20140417001087

Medical Identifiers

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

Identifier	Type	State	Issuer
1083039085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SF0001X	Clinical Nurse Specialist - Family Health	SP013599 (Pennsylvania)	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. Stephen Clark allows following entities to bill medicare on his behalf.

Entity Name	Keystone Hospice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912285198 PECOS PAC ID: 3274578240 Enrollment ID: O20111121000421

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. Stephen 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
Stephen Clark, NURSE PRACTITIONER 1013 E Haines St, Philadelphia, PA 19138-1533 Ph: (215) 438-1095	Stephen Clark, NURSE PRACTITIONER 1013 E Haines St, Philadelphia, PA 19138-1533 Ph: (215) 438-1095

Reviews and Comments

Clinical Nurse Specialist Nurses in Philadelphia, PA

Ms. Martha M. Dooley, MSN RN CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 120 S 30th St, 5th Floor, Philadelphia, PA 19104 Phone: 215-386-5128 Fax: 215-382-3626
Caitlin Clason, WHNP-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1632 Pine St, Philadelphia, PA 19103 Phone: 215-735-7992
Lauren Marie Heimall, MSN, RN, PCNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-796-3893
Ms. Cynthia Rene Owens-manns, MSN, RN, CNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-7811 Fax: 215-222-2593
Dr. Katherine Anne Smith, DNP, RN, ACCNS-P Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 267-443-8768
Mrs. Jessica Lynne Smith, RN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd, Philadelphia, PA 19141 Phone: 215-456-7014
Marie Wojcik, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800

Stephen Clark, NURSE PRACTITIONER - Medicare Clinical Nurse Specialist in Philadelphia, PA