| Kemah Clarke, CRNP | |
|
220 Golden Eagle Way, Belcamp, MD 21017-1536 | |
| (443) 801-0345 | |
| Not Available |
| Full Name | Kemah Clarke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 220 Golden Eagle Way, Belcamp, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700588092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022096144 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optimize Medical Group | 0446512040 | 25 |
| Entity Name | Novus Pain Management - Maryland, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720440449 PECOS PAC ID: 7416255963 Enrollment ID: O20160415001610 |
| Entity Name | Optimize Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952818999 PECOS PAC ID: 0446512040 Enrollment ID: O20180320000084 |
| Entity Name | Toller Enterprises, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952 |
| Entity Name | Integrahealth Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740049568 PECOS PAC ID: 3678911625 Enrollment ID: O20240410000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Kemah Clarke, CRNP 220 Golden Eagle Way, Belcamp, MD 21017-1536 Ph: () - | Kemah Clarke, CRNP 220 Golden Eagle Way, Belcamp, MD 21017-1536 Ph: (443) 801-0345 |
Kayla Herne, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Bata Blvd, Belcamp, MD 21017 Phone: 410-575-6611 | |
Ms. Deborah Joan Starr, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Bata Blvd, Suite A, Belcamp, MD 21017 Phone: 410-575-6611 Fax: 410-575-6018 | |
Amy Scott, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1123 Belcamp Garth, Belcamp, MD 21017 Phone: 410-575-6400 | |
Sarah Bagley Johnson, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4690 Millennium Dr Ste 300, Belcamp, MD 21017 Phone: 410-914-8152 Fax: 410-847-2275 | |
Monique Michall Samuel, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 312 Kestrel Dr, Belcamp, MD 21017 Phone: 134-765-3347 | |
Amanda Kelly, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Bata Blvd Ste A, Belcamp, MD 21017 Phone: 410-575-6611 |