Chimere L Clark, WHNP in Norfolk, VA - Medicare Nurse Practitioner

Chimere L Clark, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Norfolk, Virginia. Her current practice location is 825 Fairfax Ave, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 446-7900.

Chimere L Clark is licensed to practice in Virginia (license number 0017141498) 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 1245656958.

Contact Information

	Chimere L Clark, WHNP
	825 Fairfax Ave, Norfolk, VA 23507
	(757) 446-7900
	Not Available

Map and Direction

Provider's Profile

Full Name	Chimere L Clark
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	825 Fairfax Ave, Norfolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245656958
Provider Enumeration Date: 03/06/2014
Last Update Date: 04/25/2019

Medicare PECOS Information:

PECOS PAC ID: 9436375144
Enrollment ID: I20140731002423

Medical Identifiers

Medical identifiers for Chimere L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245656958	NPI	-	NPPES
10129497N	Other	VA	OPTIMA HEALTH
PAR	Other	VA	CORVEL
PAR	Other	VA	MULTIPLAN
-010	Other	VA	TRICARE/CHAMPUS
1245656958	Other	VA	VIRGINIA PREMIER HEALTH PLAN
1245656958	Medicaid	VA
PAR	Other	VA	USA MANAGED CARE
1245656958	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	0017141498 (Virginia)	Primary

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. Chimere L Clark allows following entities to bill medicare on her behalf.

Entity Name	Bayview Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508813387 PECOS PAC ID: 5597664201 Enrollment ID: O20031231000719

Entity Name	Childrens Specialty Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195

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. Chimere L 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
Chimere L Clark, WHNP 825 Fairfax Ave, Norfolk, VA 23507-1914 Ph: (757) 446-7920	Chimere L Clark, WHNP 825 Fairfax Ave, Norfolk, VA 23507 Ph: (757) 446-7900

Reviews and Comments

Nurse Practitioner Nurses in Norfolk, VA

Belinda James-petersen, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7240 Fax: 757-668-7241
Tracy Lyn Martino, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-8441
Cecille Morido Quinn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6251 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502 Phone: 757-261-5000 Fax: 757-962-5610
Martha Idowu Morolari, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 Fax: 757-388-4242
Kacie Denise Carter, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-8796 Fax: 757-668-9814
Dr. Jessica D Snook, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Fairfax Ave, 118, Norfolk, VA 23507 Phone: 757-446-5955 Fax: 757-446-5196
Mrs. Ursula Julianna Pretorius, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 Glenrock Rd, Suite 100, Norfolk, VA 23502 Phone: 757-252-3294 Fax: 757-510-9311

Chimere L Clark, WHNP - Medicare Nurse Practitioner in Norfolk, VA