Dominique Clark, - Medicare Physician Assistant in Greenbelt, MD

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Dominique Clark, is a medicare enrolled "Physician Assistant" in Greenbelt, Maryland. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Families First Counseling And Psychiatry Llc, Families First Counseling And Psychiatry Llc and her current practice location is 7474 Greenway Center Dr Ste 730, Greenbelt, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 982-3437.

Dominique Clark is licensed to practice in Maryland (license number C0005875) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700255726.

Contact Information

Dominique Clark,
7474 Greenway Center Dr Ste 730,
Greenbelt, MD 20770-3523
(301) 982-3437
(301) 982-9452

Map and Direction




Provider's Profile

Full NameDominique Clark
GenderFemale
SpecialityPhysician Assistant
Experience11 Years
Location7474 Greenway Center Dr Ste 730, Greenbelt, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dominique Clark graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1700255726
  • Provider Enumeration Date: 09/21/2015
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597068379
  • Enrollment ID: I20160413001475

Medical Identifiers

Medical identifiers for Dominique Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700255726NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant C0005875 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Families First Counseling And Psychiatry Llc428498626626
Families First Counseling And Psychiatry Llc428498626626

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 Clark allows following entities to bill medicare on her behalf.
Entity NameFamilies First Counseling and Psychiatry LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992216493
PECOS PAC ID: 4284986266
Enrollment ID: O20181220000988
Entity NameColumbia Associates in Psychiatry PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699012930
PECOS PAC ID: 7113165739
Enrollment ID: O20240826004330

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 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 AddressPractice Location Address
Dominique Clark,
7474 Greenway Center Dr, Ste 700b,
Greenbelt, MD 20770-3523

Ph: (240) 277-3359		Dominique Clark,
7474 Greenway Center Dr Ste 730,
Greenbelt, MD 20770-3523

Ph: (301) 982-3437

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.