Teresa Ann Clark, FNP-C - Medicare Nurse Practitioner in Palm Harbor, FL

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Teresa Ann Clark, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Palm Harbor, Florida. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mana Health Partners Pa, Sunshine Health Partners Llc and her current practice location is 3825 Countryside Blvd N, Palm Harbor, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 784-2848.

Teresa Ann Clark is licensed to practice in New York (license number 348054) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1497429948.

Contact Information

Teresa Ann Clark, FNP-C
3825 Countryside Blvd N,
Palm Harbor, FL 34684-4928
(727) 784-2848
Not Available

Map and Direction




Provider's Profile

Full NameTeresa Ann Clark
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location3825 Countryside Blvd N, Palm Harbor, Florida
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Teresa Ann Clark graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1497429948
  • Provider Enumeration Date: 08/06/2021
  • Last Update Date: 05/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0143626036
  • Enrollment ID: I20230817001044

Medical Identifiers

Medical identifiers for Teresa Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497429948NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 348054 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Morton Plant HospitalClearwater, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mana Health Partners Pa397195281367
Sunshine Health Partners Llc559717332830

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. Teresa Ann Clark allows following entities to bill medicare on her behalf.
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191209002247
Entity NameSunshine Health Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710595640
PECOS PAC ID: 5597173328
Enrollment ID: O20210416000035
Entity NameCurana Health Of Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013628676
PECOS PAC ID: 2466823711
Enrollment ID: O20230124001428
Entity NameCh Specialty Services Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043919822
PECOS PAC ID: 1951776186
Enrollment ID: O20230331000933
Entity NameElite Patient Care New Mexico Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598352015
PECOS PAC ID: 9335553197
Enrollment ID: O20230421001173
Entity NameMana Health Partners Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437925047
PECOS PAC ID: 3971952813
Enrollment ID: O20231218001517

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. Teresa Ann 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 AddressPractice Location Address
Teresa Ann Clark, FNP-C
3825 Countryside Blvd N,
Palm Harbor, FL 34684-4928

Ph: (727) 784-2848		Teresa Ann Clark, FNP-C
3825 Countryside Blvd N,
Palm Harbor, FL 34684-4928

Ph: (727) 784-2848

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.