| Mary A Clark, NP | |
|
17385 Lankford Hwy, Parksley, VA 23421-3882 | |
| (757) 665-5996 | |
| Not Available |
| Full Name | Mary A Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 17385 Lankford Hwy, Parksley, Virginia |
| 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 |
|---|---|---|---|
| 1518945732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0050-02432 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Shore Home Health | Onley, VA | Home health agency |
| Riverside Shore Memorial Hospital | Onancock, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Physician Services Inc | 5092608448 | 713 |
| Entity Name | Riverside Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary A Clark, NP 312 South Main St, Stantonsburg, NC 27883 Ph: (252) 238-2757 | Mary A Clark, NP 17385 Lankford Hwy, Parksley, VA 23421-3882 Ph: (757) 665-5996 |
Megan Campbell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17385 Lankford Hwy, Parksley, VA 23421 Phone: 757-665-5996 Fax: 757-665-5973 | |
Monica Boole Layne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17835 Lankford Highway, Parksley, VA 23421 Phone: 757-665-5996 Fax: 757-665-5973 | |
Holly Lynn Matthews, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17385 Lankford Hwy, Parksley, VA 23421 Phone: 757-665-5996 Fax: 757-665-5973 | |
Mrs. Virginia Annette Brock, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19056 Greenbush Rd, Parksley, VA 23421 Phone: 757-655-1260 Fax: 757-665-4015 |