| Mar Y Louise Clemson, RNCS | |
|
602 Massachusetts Ave, Norfolk, VA 23508-2118 | |
| (757) 622-6673 | |
| (757) 622-6673 |
| Full Name | Mar Y Louise Clemson |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 602 Massachusetts Ave, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750563086 | NPI | - | NPPES |
| C08982 | Other | VA | MEDICARE |
| P00071810 | Other | VA | RAILROAD |
| 101867 | Other | VA | ANTHEM GROUP |
| 101868 | Other | VA | ANTHEM INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 1193801 (Virginia) | Primary |
| Entity Name | M L Clemson Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033127188 PECOS PAC ID: 8224024617 Enrollment ID: O20040421001614 |
| Mailing Address | Practice Location Address |
|---|---|
| Mar Y Louise Clemson, RNCS 602 Massachusetts Ave, Norfolk, VA 23508-2118 Ph: (757) 622-6673 | Mar Y Louise Clemson, RNCS 602 Massachusetts Ave, Norfolk, VA 23508-2118 Ph: (757) 622-6673 |
Ms. Kimberly Nicole Gray, PMHNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 825 Fairfax Ave Ste 410, Norfolk, VA 23507 Phone: 757-446-8999 | |
Marissa Seales-ash, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1035 W 25th St Ste B, Norfolk, VA 23517 Phone: 757-962-3262 Fax: 757-962-1625 | |
Amy Leigh Clark, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-3000 | |
Charles Cather, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Military Sealift Command N02h, 471 East C Street Bldg Sp 312, Norfolk, VA 23511 Phone: 757-341-6518 | |
Desja Riddick, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5353 E Princess Anne Rd Ste F, Norfolk, VA 23502 Phone: 757-537-0257 | |
Jillian Mccann, RN IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4701 Pleasant Ave, Norfolk, VA 23518 Phone: 919-260-3741 | |
Lisa Marie Miller, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7000 |