Dr Shanelle A Clarke, MD in Atlanta, GA

Dr Shanelle A Clarke, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Atlanta, Georgia. Her current practice location is 1405 Clifton Rd Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 256-2593.

Dr Shanelle A Clarke is licensed to practice in Georgia (license number 74968) 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 1104973999.

Contact Information

	Dr Shanelle A Clarke, MD
	1405 Clifton Rd Ne, Atlanta, GA 30322-5510
	(404) 256-2593
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shanelle A Clarke
Gender	Female
Speciality	Pediatrics - Pediatric Cardiology
Location	1405 Clifton Rd Ne, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104973999
Provider Enumeration Date: 01/04/2007
Last Update Date: 01/22/2021

Medicare PECOS Information:

PECOS PAC ID: 9537343132
Enrollment ID: I20161103001938

Medical Identifiers

Medical identifiers for Dr Shanelle A Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104973999	NPI	-	NPPES
34768400	Medicaid	WI
003170465A	Medicaid	GA
1104973999	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	74968 (Georgia)	Primary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	50214 (Wisconsin)	Secondary

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 Shanelle A Clarke allows following entities to bill medicare on her behalf.

Entity Name	Children's Healthcare Of Atlanta Cardiology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235148727 PECOS PAC ID: 6901888395 Enrollment ID: O20040601000805

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 Shanelle 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 Shanelle A Clarke, MD 2835 Brandywine Rd, Suite 300, Atlanta, GA 30341-5510 Ph: (404) 256-2593	Dr Shanelle A Clarke, MD 1405 Clifton Rd Ne, Atlanta, GA 30322-5510 Ph: (404) 256-2593

Reviews and Comments

Pediatrics Doctors in Atlanta, GA

Dr. Seth Benjamin Marcus, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 993-d Johnson Ferry Rd Ne Suite 440, Atlanta, GA 30342 Phone: 404-257-0799
Carrie Ng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-7141 Fax: 404-785-7989
Dr. Bharath Srivatsa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5901 Peachtree Dunwoody Rd Ne, Suite B 420, Atlanta, GA 30328 Phone: 404-252-9751 Fax: 678-990-5763
Michael Mallory, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-250-2972
Briana Cary Patterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2015 Uppergate Dr, Atlanta, GA 30322 Phone: 404-727-6721
Evan Orenstein, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-6104 Fax: 404-785-1462
Andrew John Galway Mcreynolds, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49 Jesse Hill Jr Dr Se, Pediatrics Residency Training Program, Atlanta, GA 30303 Phone: 404-778-1440

Dr Shanelle A Clarke, MD - Medicare Pediatrics in Atlanta, GA