Kristen Nicole Clark, OD in Champaign, IL - Medicare Optometry Provider

Kristen Nicole Clark, OD is a medicare enrolled "Optometrist" provider in Champaign, Illinois. She went to Illinois College Of Optometry At Chicago and graduated in 2011 and has 14 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Eye Physicians Of Olympia Inc Ps and her current practice location is 2435 Village Green Pl, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (800) 325-7706.

Kristen Nicole Clark is licensed to practice in Illinois (license number 046010447) 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 1306134317.

Contact Information

	Kristen Nicole Clark, OD
	2435 Village Green Pl, Champaign, IL 61822-7676
	(800) 325-7706
	(309) 829-8397

Map and Direction

Healthcare Provider's Profile

Full Name	Kristen Nicole Clark
Gender	Female
Speciality	Optometry
Experience	14 Years
Location	2435 Village Green Pl, Champaign, Illinois
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:

Kristen Nicole Clark attended and graduated from Illinois College Of Optometry At Chicago in 2011

NPI Data:

NPI Number: 1306134317
Provider Enumeration Date: 07/12/2011
Last Update Date: 08/05/2011

Medicare PECOS Information:

PECOS PAC ID: 8426228495
Enrollment ID: I20191107002041

Medical Identifiers

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

Identifier	Type	State	Issuer
1306134317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046010447 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eye Physicians Of Olympia Inc Ps	8123916962	11

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. Kristen Nicole Clark allows following entities to bill medicare on her behalf.

Provider Name	Eye Physicians Of Olympia Inc Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821165911 PECOS PAC ID: 8123916962 Enrollment ID: O20040308000701

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. Kristen Nicole 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
Kristen Nicole Clark, OD Po Box 757, Bloomington, IL 61702-0757 Ph: (800) 325-7706	Kristen Nicole Clark, OD 2435 Village Green Pl, Champaign, IL 61822-7676 Ph: (800) 325-7706

Reviews and Comments

Optometrist in Champaign, IL

Jodi M Albert, JODI M ALBERT Optometrist Medicare: Not Enrolled in Medicare Practice Location: 505 S Neil St, 4, Champaign, IL 61820 Phone: 217-356-5787 Fax: 217-356-0655
Nemeh Eyecare P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2610 N Prospect Ave, Champaign, IL 61822 Phone: 217-352-1812 Fax: 217-403-1769
C-u Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2008 Round Barn Rd, Champaign, IL 61821 Phone: 217-355-6464 Fax: 217-355-6476
Paige Paulas Pantoja, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 525 W Town Center Blvd, Champaign, IL 61822 Phone: 217-531-5393
Chad Michael Parks, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2000 N Neil St, Champaign, IL 61820 Phone: 815-821-3810
Dr. Lawrence Howard Kessler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 44 E. Main Street, Suit 100, Champaign, IL 61820 Phone: 217-356-5377 Fax: 217-356-5379
Dr. Sara Jo Meyer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2008 Round Barn Rd, Champaign, IL 61821 Phone: 217-355-6464 Fax: 217-355-6476

Kristen Nicole Clark, OD - Medicare Optometrist in Champaign, IL