Susan Marie Clark, PMHNP-BC in Orange City, FL

Susan Marie Clark, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Orange City, Florida. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mindful Behavioral Healthcare Llc and her current practice location is 300 Treemonte Dr, Orange City, Florida. You can reach out to her office (for appointments etc.) via phone at (800) 614-4124.

Susan Marie Clark is licensed to practice in Florida (license number APRN11007813) 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 1376161950.

Contact Information

	Susan Marie Clark, PMHNP-BC
	300 Treemonte Dr, Orange City, FL 32763-7977
	(800) 614-4124
	(888) 217-4124

Map and Direction

Provider's Profile

Full Name	Susan Marie Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	300 Treemonte Dr, Orange City, Florida
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:

Susan Marie Clark graduated from nursing school in 2020

NPI Data:

NPI Number: 1376161950
Provider Enumeration Date: 07/09/2020
Last Update Date: 02/27/2024

Medicare PECOS Information:

PECOS PAC ID: 6002235454
Enrollment ID: I20201002002888

Medical Identifiers

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

Identifier	Type	State	Issuer
1376161950	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11007813 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mindful Behavioral Healthcare Llc	7810162740	10

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. Susan Marie Clark allows following entities to bill medicare on her behalf.

Entity Name	Mindful Behavioral Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477744548 PECOS PAC ID: 7810162740 Enrollment ID: O20111205000619

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. Susan Marie 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
Susan Marie Clark, PMHNP-BC 674 Coral Way, Winter Springs, FL 32708-3127 Ph: (334) 220-2985	Susan Marie Clark, PMHNP-BC 300 Treemonte Dr, Orange City, FL 32763-7977 Ph: (800) 614-4124

Reviews and Comments

Nurse Practitioner Nurses in Orange City, FL

Ashley Nicole Briggs, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2777 Enterprise Rd Ste 4, Orange City, FL 32763 Phone: 386-774-2550 Fax: 386-774-5140
Mrs. Juliet Omonme Agbator, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 955 Town Center Dr Ste 100, Orange City, FL 32763 Phone: 386-228-0661
Ms. Traci Lynn Zimmer, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 341 W Minnesota Ave, Orange City, FL 32763 Phone: 386-316-5439
Mrs. Cristyl Rachelle Mcclure, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5508
Mrs. Lois Kimberly Steinbaum, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2864 Wellness Ave Ste 200, Orange City, FL 32763 Phone: 386-775-0333
Marissa Wagner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2884 Wellness Ave Ste 100, Orange City, FL 32763 Phone: 386-668-2221
Cameka Campbell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1133 Saxon Blvd, Orange City, FL 32763 Phone: 386-878-4137

Susan Marie Clark, PMHNP-BC - Medicare Nurse Practitioner in Orange City, FL