Jennifer Anne Clark, MMS, PA-C is a medicare enrolled "Physician Assistant" physician in San Francisco, California. Her current practice location is
2425 Geary Blvd, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 833-2000.
Jennifer Anne Clark is licensed to practice in California (license number PA56337) 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 1992278204.
Physician's Profile
Full Name | Jennifer Anne Clark |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2425 Geary Blvd, San Francisco, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992278204
- Provider Enumeration Date: 01/09/2019
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 1254852965
- Enrollment ID: I20250311001609
Medical Identifiers
Medical identifiers for Jennifer Anne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992278204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 56337 (California) | Secondary |
363A00000X | Physician Assistant | PA56337 (California) | Primary |
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. Jennifer Anne 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 |
Jennifer Anne Clark, MMS, PA-C 2425 Geary Blvd, San Francisco, CA 94115-3358 Ph: (415) 833-3678 | Jennifer Anne Clark, MMS, PA-C 2425 Geary Blvd, San Francisco, CA 94115-3358 Ph: (415) 833-2000 |
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