Todd L Clark, APRN in Fairfield, CT - Medicare Nurse Practitioner

Todd L Clark, APRN is a medicare enrolled "Nurse Practitioner - Family" in Fairfield, Connecticut. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 140 Sherman St Fl 2, 2nd Floor, Fairfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 759-8077.

Todd L Clark is licensed to practice in Connecticut (license number 9827) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407529738.

Contact Information

	Todd L Clark, APRN
	140 Sherman St Fl 2, 2nd Floor, Fairfield, CT 06824-5849
	(203) 759-8077
	Not Available

Map and Direction

Provider's Profile

Full Name	Todd L Clark
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	140 Sherman St Fl 2, Fairfield, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Todd L Clark graduated from nursing school in 2012

NPI Data:

NPI Number: 1407529738
Provider Enumeration Date: 08/02/2021
Last Update Date: 01/21/2024

Medicare PECOS Information:

PECOS PAC ID: 2769886084
Enrollment ID: I20210810000098

Medical Identifiers

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

Identifier	Type	State	Issuer
1407529738	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9827 (Connecticut)	Primary
363L00000X	Nurse Practitioner	9827 (Connecticut)	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. Todd L Clark allows following entities to bill medicare on his behalf.

Entity Name	Healthfair Plus Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220307000909

Entity Name	Tlc & Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508541350 PECOS PAC ID: 3476914524 Enrollment ID: O20230804002422

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. Todd L 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
Todd L Clark, APRN 140 Sherman St Fl 2, Fairfield, CT 06824-5849 Ph: (203) 759-8077	Todd L Clark, APRN 140 Sherman St Fl 2, 2nd Floor, Fairfield, CT 06824-5849 Ph: (203) 759-8077

Reviews and Comments

Nurse Practitioner Nurses in Fairfield, CT

Judith Karen Adelstein, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 189 Veres St, Fairfield, CT 06824 Phone: 203-464-7493
Ms. Anne Madeleine Hyde, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Katona Dr Ste 25a, Fairfield, CT 06824 Phone: 203-502-1404 Fax: 203-502-1404
Aneta Rafalo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 313 Figlar Ave, Fairfield, CT 06824 Phone: 203-856-9706
Dr. Lisa Marie Burton, PHD,ARNP, PMHCNS Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 66 Elvira Ln, Fairfield, CT 06824 Phone: 786-300-5776
Elizabeth T Kamlani, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 575 Winnepoge Dr, Fairfield, CT 06825 Phone: 203-763-9452
Kerri Maciejko, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5151 Park Ave, Fairfield, CT 06825 Phone: 978-216-1017
Rebecca Tvardzik, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Post Rd, 102, Fairfield, CT 06824 Phone: 203-254-2046

Todd L Clark, APRN - Medicare Nurse Practitioner in Fairfield, CT