Dominique Clarke, in Coral Springs, FL - Medicare Nurse Practitioner

Dominique Clarke, is a medicare enrolled "Nurse Practitioner - Family" in Coral Springs, Florida. Her current practice location is 10000 W Sample Rd, Coral Springs, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 798-7114.

Dominique Clarke is licensed to practice in Florida (license number APRN11004924) 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 1932730702.

Contact Information

	Dominique Clarke,
	10000 W Sample Rd, Coral Springs, FL 33065-3936
	(954) 798-7114
	Not Available

Map and Direction

Provider's Profile

Full Name	Dominique Clarke
Gender	Female
Speciality	Nurse Practitioner - Family
Location	10000 W Sample Rd, Coral Springs, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932730702
Provider Enumeration Date: 01/30/2020
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 7719317411
Enrollment ID: I20200429000691

Medical Identifiers

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

Identifier	Type	State	Issuer
1932730702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11004924 (Florida)	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. Dominique Clarke allows following entities to bill medicare on her behalf.

Entity Name	Nursing Home Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396769725 PECOS PAC ID: 9335187855 Enrollment ID: O20050425000291

Entity Name	Vitae Health Of Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013562024 PECOS PAC ID: 6204166762 Enrollment ID: O20190925003271

Entity Name	Progressive Care Medical Group Of Fl, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578194452 PECOS PAC ID: 9638598576 Enrollment ID: O20200928000525

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. Dominique 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
Dominique Clarke, 6160 Nw 54th Ln, Tamarac, FL 33319-2453 Ph: (954) 822-5920	Dominique Clarke, 10000 W Sample Rd, Coral Springs, FL 33065-3936 Ph: (954) 798-7114

Reviews and Comments

Nurse Practitioner Nurses in Coral Springs, FL

Nancy Assani, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9120a Wiles Rd, Coral Springs, FL 33067 Phone: 954-341-0074 Fax: 954-345-3474
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Farah Philippe, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2139 N University Dr # 2256, Coral Springs, FL 33071 Phone: 954-405-2736
Natasha Lee Tate, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1480 N University Dr, Coral Springs, FL 33071 Phone: 954-840-0530 Fax: 954-840-3570
Jennifer Lovelace, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8704 Nw 18th St, Coral Springs, FL 33071 Phone: 954-200-4535 Fax: 954-200-4535
Joienah Arlise Amisial, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8755 Nw 6th St, Coral Springs, FL 33071 Phone: 781-910-1568
Amanda Giordano, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1750 N University Dr Ste 101, Coral Springs, FL 33071 Phone: 954-906-6673

Dominique Clarke, - Medicare Nurse Practitioner in Coral Springs, FL