Miss Ronnie Mashette Clark, CRNP is a
Family Medicine based in Pocomoke City, Maryland. Miss Ronnie Mashette Clark is licensed to practice in Maryland (license number R203521) and her current practice location is
Po Box 171, Pocomoke City, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 497-8818.
NPI number for Miss Ronnie Mashette Clark is 1114762689 and her current mailing address is Po Box 171, Pocomoke City, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114762689.
Provider's Profile
| Full Name | Miss Ronnie Mashette Clark |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | Po Box 171, Pocomoke City, Maryland |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114762689
- Provider Enumeration Date: 06/27/2024
- Last Update Date: 01/15/2026
Medical Identifiers
Medical identifiers for Miss Ronnie Mashette Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114762689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R203521 (Maryland) | Secondary |
| 207Q00000X | Family Medicine | R203521 (Maryland) | Primary |
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. Miss Ronnie Mashette Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Miss Ronnie Mashette Clark, CRNP Po Box 171, Pocomoke City, MD 21851-0171 Ph: (443) 497-8818 | Miss Ronnie Mashette Clark, CRNP Po Box 171, Pocomoke City, MD 21851-0171 Ph: (443) 497-8818 |
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