Nadia Shanise Clark, FNP-C - Medicare Nurse Practitioner in Bassfield, MS

Nadia Shanise Clark, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bassfield, Mississippi. 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 Pioneer Health Care , Llc and her current practice location is 4297 Us Highway 42, Bassfield, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 943-5060.

Nadia Shanise Clark is licensed to practice in Mississippi (license number 904907) 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 1689345506.

Contact Information

Nadia Shanise Clark, FNP-C
4297 Us Highway 42,
Bassfield, MS 39421
(601) 943-5060
(601) 943-5888



Provider's Profile

Full NameNadia Shanise Clark
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location4297 Us Highway 42, Bassfield, Mississippi
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:
  • Nadia Shanise Clark graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1689345506
  • Provider Enumeration Date: 09/21/2021
  • Last Update Date: 03/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870987787
  • Enrollment ID: I20220218000291

Medical Identifiers

Medical identifiers for Nadia Shanise Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689345506NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 904907 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health Of CollinsCollins, MSHome health agency
Encompass Health-home Health & HospiceHattiesburg, MSHome health agency
Marion General HospitalColumbia, MSHospital
Jefferson Davis General HospitalPrentiss, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pioneer Health Care , Llc478974004416

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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. Nadia Shanise Clark allows following entities to bill medicare on her behalf.
Entity NamePioneer Health Care , Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336384742
PECOS PAC ID: 4789740044
Enrollment ID: O20090311000659

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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. Nadia Shanise 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
Nadia Shanise Clark, FNP-C
8 Sequatchie,
Hattiesburg, MS 39402-1269

Ph: (601) 410-7189
Nadia Shanise Clark, FNP-C
4297 Us Highway 42,
Bassfield, MS 39421

Ph: (601) 943-5060

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Nurse Practitioner Nurses in Bassfield, MS

Howard Curtis Nobles Jr., CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2560 Gates Rd, Bassfield, MS 39421
Phone: 601-270-4127    

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