Jennifer Nicole Clarke, FNP is a medicare enrolled "Nurse Practitioner" physician in Richmond, Virginia. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Care Llc, Legacy Care Aco Llc, Primary Health Group Inc and her current practice location is
500 Hioaks Rd Ste B, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 560-0490.
Jennifer Nicole Clarke is licensed to practice in Virginia (license number 0024178855) 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 1134756802.
Physician's Profile
Full Name | Jennifer Nicole Clarke |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 5 Years |
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Location | 500 Hioaks Rd Ste B, Richmond, Virginia |
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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:
- Jennifer Nicole Clarke graduated from medical school in 2019
NPI Data:
- NPI Number: 1134756802
- Provider Enumeration Date: 03/24/2020
- Last Update Date: 04/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 1850722596
- Enrollment ID: I20200512002902
Medical Identifiers
Medical identifiers for Jennifer Nicole Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134756802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0024178855 (Virginia) | Secondary |
363L00000X | Nurse Practitioner | 0024178855 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Legacy Care Llc | 0042458200 | 61 |
Legacy Care Aco Llc | 3274996426 | 19 |
Primary Health Group Inc | 3577465202 | 18 |
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. Jennifer Nicole Clarke allows following entities to bill medicare on her behalf.
Entity Name | Primary Health Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578504452 PECOS PAC ID: 3577465202 Enrollment ID: O20040123000184 |
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Entity Name | Legacy Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902149776 PECOS PAC ID: 0042458200 Enrollment ID: O20130529000542 |
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Entity Name | Legacy Care Aco Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538844857 PECOS PAC ID: 3274996426 Enrollment ID: O20230906000290 |
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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. Jennifer Nicole Clarke 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 |
Jennifer Nicole Clarke, FNP Po Box 281814, Atlanta, GA 30384-1814 Ph: () - | Jennifer Nicole Clarke, FNP 500 Hioaks Rd Ste B, Richmond, VA 23225-4061 Ph: (804) 560-0490 |
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