Mrs Edwina Clarke, MD in Warren, PA

Mrs Edwina Clarke, MD is a medicare enrolled "Pediatrics" physician in Warren, Pennsylvania. Her current practice location is 2 W Crescent Park, Warren, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 723-3300.

Mrs Edwina Clarke is licensed to practice in Pennsylvania (license number MD470063) 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 1619360351.

Contact Information

	Mrs Edwina Clarke, MD
	2 W Crescent Park, Warren, PA 16365-2199
	(814) 723-3300
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Edwina Clarke
Gender	Female
Speciality	Pediatrics
Location	2 W Crescent Park, Warren, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619360351
Provider Enumeration Date: 03/05/2015
Last Update Date: 03/02/2023

Medicare PECOS Information:

PECOS PAC ID: 4082983226
Enrollment ID: I20200624001332

Medical Identifiers

Medical identifiers for Mrs Edwina Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619360351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD470063 (Pennsylvania)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Mrs Edwina Clarke allows following entities to bill medicare on her behalf.

Entity Name	Warren General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154363992 PECOS PAC ID: 4880501402 Enrollment ID: O20050411000534

Entity Name	Warren General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508803701 PECOS PAC ID: 4880501402 Enrollment ID: O20060412000247

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. Mrs Edwina 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
Mrs Edwina Clarke, MD 2 W Crescent Park, Warren, PA 16365-2111 Ph: (814) 730-8000	Mrs Edwina Clarke, MD 2 W Crescent Park, Warren, PA 16365-2199 Ph: (814) 723-3300

Reviews and Comments

Pediatrics Doctors in Warren, PA

Margot B Butler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 145 Pleasant Dr, Warren, PA 16365 Phone: 814-723-8023 Fax: 814-723-8025
Dr. Sunny A Thomas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 145 Pleasant Dr, Warren, PA 16365 Phone: 814-723-8023 Fax: 814-723-8025
Dr. Dale Timothy Coombs, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 145 Pleasant Dr, Warren, PA 16365 Phone: 814-723-8023 Fax: 814-723-8025
Dr. David M Mcconnell Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 145 Pleasant Dr, Warren, PA 16365 Phone: 814-723-8023 Fax: 814-723-8025

Mrs Edwina Clarke, MD - Medicare Pediatrics in Warren, PA