Dr Desiree A Clarke, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Southbury, Connecticut. She went to New York University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Wazni Pllc and her current practice location is
775 Main St S, Unit 220/230, Southbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 405-7148.
Dr Desiree A Clarke is licensed to practice in Florida (license number ME151858) 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 1568423168.
Physician's Profile
Full Name | Dr Desiree A Clarke |
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Gender | Female |
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Speciality | Obstetrics/gynecology |
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Experience | 30 Years |
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Location | 775 Main St S, Southbury, Connecticut |
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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:
- Dr Desiree A Clarke attended and graduated from New York University School Of Medicine in 1994
NPI Data:
- NPI Number: 1568423168
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 08/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 1355409582
- Enrollment ID: I20210816000157
Medical Identifiers
Medical identifiers for Dr Desiree A Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568423168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
202K00000X | Phlebology | 49003 (Connecticut) | Secondary |
207V00000X | Obstetrics & Gynecology | ME151858 (Florida) | Primary |
207V00000X | Obstetrics & Gynecology | 49003 (Connecticut) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Wazni Pllc | 2860629466 | 15 |
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. Dr Desiree A Clarke allows following entities to bill medicare on her behalf.
Entity Name | Wazni Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114353026 PECOS PAC ID: 2860629466 Enrollment ID: O20131205000413 |
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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. Dr Desiree A 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 |
Dr Desiree A Clarke, MD 3810 Northdale Blvd, Ste 150, Tampa, FL 33624-1871 Ph: (630) 725-2730 | Dr Desiree A Clarke, MD 775 Main St S, Unit 220/230, Southbury, CT 06488-2271 Ph: (203) 405-7148 |
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