Jacqueline Clarke, RN in Greensboro, NC - Medicare Nurse Practitioner

Jacqueline Clarke, RN is a medicare enrolled "Nurse Practitioner - Gerontology" in Greensboro, North Carolina. Her current practice location is 2910 Haig St, Greensboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 314-4384.

Jacqueline Clarke is licensed to practice in North Carolina (license number 5015199) 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 1043983489.

Contact Information

	Jacqueline Clarke, RN
	2910 Haig St, Greensboro, NC 27405-3391
	(336) 314-4384
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Clarke
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	2910 Haig St, Greensboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043983489
Provider Enumeration Date: 07/30/2021
Last Update Date: 11/02/2021

Medicare PECOS Information:

PECOS PAC ID: 1254721764
Enrollment ID: I20230503000643

Medical Identifiers

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

Identifier	Type	State	Issuer
1043983489	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	5015199 (North Carolina)	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. Jacqueline Clarke allows following entities to bill medicare on her behalf.

Entity Name	Physiatry Consultants Of Nc Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437736881 PECOS PAC ID: 2567871643 Enrollment ID: O20210430000666

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. Jacqueline 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
Jacqueline Clarke, RN 2910 Haig St, Greensboro, NC 27405-3391 Ph: (336) 314-4384	Jacqueline Clarke, RN 2910 Haig St, Greensboro, NC 27405-3391 Ph: (336) 314-4384

Reviews and Comments

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Spenser Robert Beasley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Wendover Ave Ste 311, Greensboro, NC 27401 Phone: 336-272-6161
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Mr. Brian Anthony White, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410 Phone: 336-292-1510
Mrs. Mariam Mangu Nantang, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 717 Green Valley Rd Ste 200, Greensboro, NC 27408 Phone: 743-222-9755
Leni Abraham Daniel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3803 N Elm St, Greensboro, NC 27455 Phone: 919-949-0731
Mrs. Dinah Chebotip Ngetich, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1309 N Elm St, Greensboro, NC 27401 Phone: 336-544-5400

Jacqueline Clarke, RN - Medicare Nurse Practitioner in Greensboro, NC