Hannah Grace Clarke, RD, LDN, PA-C is a medicare enrolled "Physician Assistant" provider in Winston Salem, North Carolina. She went to Wake Forest University School Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Wake Forest University Health Sciences and her current practice location is
110 Charlois Blvd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 768-3361.
Hannah Grace Clarke is licensed to practice in North Carolina (license number 0010-05131) 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 1497994966.
Healthcare Provider's Profile
| Full Name | Hannah Grace Clarke |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 12 Years |
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| Location | 110 Charlois Blvd, Winston Salem, North Carolina |
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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. |
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Medical Education and Training:
- Hannah Grace Clarke attended and graduated from Wake Forest University School Of Medicine in 2014
NPI Data:
- NPI Number: 1497994966
- Provider Enumeration Date: 02/06/2009
- Last Update Date: 07/28/2014
Medicare PECOS Information:
- PECOS PAC ID: 4587885298
- Enrollment ID: I20141022001037
Medical Identifiers
Medical identifiers for Hannah Grace Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497994966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | L003231PL (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-05131 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wake Forest University Health Sciences | 4486564952 | 2633 |
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. Hannah Grace Clarke allows following entities to bill medicare on her behalf.
| Provider Name | Wake Forest University Health Sciences |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436 |
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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. Hannah Grace 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 |
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Hannah Grace Clarke, RD, LDN, PA-C
110 Charlois Blvd,
Winston Salem, NC 27103-1522
Ph: (336) 768-3361 | Hannah Grace Clarke, RD, LDN, PA-C
110 Charlois Blvd,
Winston Salem, NC 27103-1522
Ph: (336) 768-3361 |
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