Alana Clark, NP in Richmond, CA - Medicare Nurse Practitioner

Alana Clark, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Richmond, California. Her current practice location is 150 Harbour Way, Richmond, California. You can reach out to her office (for appointments etc.) via phone at (510) 981-4100.

Alana Clark is licensed to practice in California (license number 95018487) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306587183.

Contact Information

	Alana Clark, NP
	150 Harbour Way, Richmond, CA 94801-3554
	(510) 981-4100
	Not Available

Map and Direction

Provider's Profile

Full Name	Alana Clark
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	150 Harbour Way, Richmond, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306587183
Provider Enumeration Date: 04/05/2022
Last Update Date: 04/05/2022

Medicare PECOS Information:

PECOS PAC ID: 9234526385
Enrollment ID: I20220420001539

Medical Identifiers

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

Identifier	Type	State	Issuer
1306587183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	95018487 (California)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	95018487 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	95018487 (California)	Primary

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. Alana Clark allows following entities to bill medicare on her behalf.

Entity Name	Lifelong Medical Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704

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. Alana 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
Alana Clark, NP 42 Greenbank Ave, Piedmont, CA 94611-4334 Ph: (510) 579-2438	Alana Clark, NP 150 Harbour Way, Richmond, CA 94801-3554 Ph: (510) 981-4100

Reviews and Comments

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Alana Clark, NP - Medicare Nurse Practitioner in Richmond, CA