Anna Irene Clark, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Newport News, Virginia. She went to Saint Louis University School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Lawrence E. Samuels M.d., Inc. and her current practice location is
500 J Clyde Morris Blvd Fl 2, Newport News, Virginia. You can reach out to her office (for appointments etc.) via phone at
(314) 306-3818.
Anna Irene Clark is licensed to practice in * (Not Available) (license number ) 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 1457705733.
Physician's Profile
| Full Name | Anna Irene Clark |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 8 Years |
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| Location | 500 J Clyde Morris Blvd Fl 2, Newport News, 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. |
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Medical Education and Training:
- Anna Irene Clark attended and graduated from Saint Louis University School Of Medicine in 2016
NPI Data:
- NPI Number: 1457705733
- Provider Enumeration Date: 04/22/2016
- Last Update Date: 09/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 2860763745
- Enrollment ID: I20210106002828
Medical Identifiers
Medical identifiers for Anna Irene Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457705733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 2020029228 (Missouri) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lawrence E. Samuels M.d., Inc. | 0749221836 | 3 |
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. Anna Irene Clark allows following entities to bill medicare on her behalf.
| Entity Name | Lawrence E. Samuels M.d., Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225179724
PECOS PAC ID: 0749221836
Enrollment ID: O20050519000044 |
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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. Anna Irene 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 |
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Anna Irene Clark, MD
222 S Woods Mill Rd Ste 480,
Chesterfield, MO 63017-3625
Ph: (314) 306-3818 | Anna Irene Clark, MD
500 J Clyde Morris Blvd Fl 2,
Newport News, VA 23601-1929
Ph: (314) 306-3818 |
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