Mrs Beverly Ann Clark, APRN-CNP - Medicare Nurse Practitioner in Moore, OK

Mrs Beverly Ann Clark, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Moore, Oklahoma. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Clinic Oklahoma Communities and her current practice location is 1060 Sw 4th St, Moore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 378-5491.

Mrs Beverly Ann Clark is licensed to practice in Oklahoma (license number 205019) 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 1417624362.

Contact Information

Mrs Beverly Ann Clark, APRN-CNP
1060 Sw 4th St,
Moore, OK 73160-2494
(405) 378-5491
(405) 378-5492



Provider's Profile

Full NameMrs Beverly Ann Clark
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1060 Sw 4th St, Moore, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Beverly Ann Clark graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1417624362
  • Provider Enumeration Date: 08/27/2021
  • Last Update Date: 01/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9133512981
  • Enrollment ID: I20220131001828

Medical Identifiers

Medical identifiers for Mrs Beverly Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417624362NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 205019 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital Oklahoma City, IncOklahoma city, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Oklahoma Communities1153468921485

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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. Mrs Beverly Ann Clark allows following entities to bill medicare on her behalf.
Entity NameMercy Clinic Oklahoma Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386874550
PECOS PAC ID: 1153468921
Enrollment ID: O20091027000755

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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. Mrs Beverly 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
Mrs Beverly Ann Clark, APRN-CNP
1060 Sw 4th St,
Moore, OK 73160-2494

Ph: (405) 378-5491
Mrs Beverly Ann Clark, APRN-CNP
1060 Sw 4th St,
Moore, OK 73160-2494

Ph: (405) 378-5491

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Nurse Practitioner Nurses in Moore, OK

Mrs. Kristen Lanae Rosenau, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2900 S Telephone Rd Ste 250, Moore, OK 73160
Phone: 405-237-7512    
Haley Harrison Strutton, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 400 N Eastern Ave, Moore, OK 73160
Phone: 405-757-7818    
Mr. Christopher R Stepp, MSN, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 612 Madeline Ln, Moore, OK 73160
Phone: 580-334-8661    
Dr. Jeffery David Barlow, DNP, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 601 S Service Rd # 6253, Moore, OK 73160
Phone: 888-611-4429    Fax: 888-611-4429
My Nguyen, APRN CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 400 N Eastern Ave, Moore, OK 73160
Phone: 405-757-7818    Fax: 405-703-3116
Caroline Anne Whitaker, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1105 Sw 30th Ct, Moore, OK 73160
Phone: 405-378-4439    
Miss Jennifer Ann Barber, APRN, ATC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2900 S Telephone Rd, Moore, OK 73160
Phone: 405-488-0750    Fax: 405-237-7512

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