Janny N Clark, NP in Mission Viejo, CA - Medicare Nurse Practitioner

Janny N Clark, NP is a medicare enrolled "Nurse Practitioner" in Mission Viejo, California. Her current practice location is 26800 Crown Valley Pkwy Ste 385, Mission Viejo, California. You can reach out to her office (for appointments etc.) via phone at (949) 542-8002.

Janny N Clark is licensed to practice in California (license number 95023060) 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 1932816626.

Contact Information

	Janny N Clark, NP
	26800 Crown Valley Pkwy Ste 385, Mission Viejo, CA 92691-7320
	(949) 542-8002
	Not Available

Map and Direction

Provider's Profile

Full Name	Janny N Clark
Gender	Female
Speciality	Nurse Practitioner
Location	26800 Crown Valley Pkwy Ste 385, Mission Viejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932816626
Provider Enumeration Date: 11/01/2022
Last Update Date: 03/01/2023

Medicare PECOS Information:

PECOS PAC ID: 6204209521
Enrollment ID: I20230307000549

Medical Identifiers

Medical identifiers for Janny N Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932816626	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95023060 (California)	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. Janny N Clark allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Janny N 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
Janny N Clark, NP 26800 Crown Valley Pkwy Ste 385, Mission Viejo, CA 92691-7320 Ph: (949) 542-8002	Janny N Clark, NP 26800 Crown Valley Pkwy Ste 385, Mission Viejo, CA 92691-7320 Ph: (949) 542-8002

Reviews and Comments

Nurse Practitioner Nurses in Mission Viejo, CA

Chelsea Zimmerman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400
Casey Cortes, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27401 Los Altos Ste 120, Mission Viejo, CA 92691 Phone: 562-431-8822
Jeremy John Christie, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691 Phone: 949-276-2111
Yi-jywe Cheng, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26611 Lira Cir, Mission Viejo, CA 92691 Phone: 714-907-5108
Ms. Susan T. Manabo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26455 Marsala Way, Mission Viejo, CA 92692 Phone: 949-348-0476 Fax: 213-484-9939
Darolyn Underwood Plant, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23228 Madero, Mission Viejo, CA 92691 Phone: 949-454-3940
Ms. Brendi M Gayle, AG-ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400

Janny N Clark, NP - Medicare Nurse Practitioner in Mission Viejo, CA