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

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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 NameTodd L Clark
GenderMale
SpecialityNurse Practitioner
Experience14 Years
Location140 Sherman St Fl 2, Fairfield, Connecticut
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1407529738NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 9827 (Connecticut)Primary
363L00000XNurse 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 NameTlc & Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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


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Judith Karen Adelstein, APRN
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Phone: 203-267-0012    Fax: 475-344-6900
Elizabeth T Kamlani, APRN
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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.