Victoria Dene Clark, - Medicare Nurse Practitioner in Southfield, MI

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Victoria Dene Clark, is a medicare enrolled "Nurse Practitioner - Adult Health" in Southfield, Michigan. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ltc Physician Care Pc and her current practice location is 24111 Southfield Rd, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 557-8800.

Victoria Dene Clark is licensed to practice in Michigan (license number 4704276153) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417361502.

Contact Information

Victoria Dene Clark,
24111 Southfield Rd,
Southfield, MI 48075-2841
(248) 557-8800
(248) 557-8860

Map and Direction




Provider's Profile

Full NameVictoria Dene Clark
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location24111 Southfield Rd, Southfield, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Victoria Dene Clark graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1417361502
  • Provider Enumeration Date: 06/17/2014
  • Last Update Date: 11/20/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4688891450
  • Enrollment ID: I20140821000718

Medical Identifiers

Medical identifiers for Victoria Dene Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417361502NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 4704276153 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ltc Physician Care Pc822449657517

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. Victoria Dene Clark allows following entities to bill medicare on her behalf.
Entity NameMuksi, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003084492
PECOS PAC ID: 3072692946
Enrollment ID: O20080502000445
Entity NameMichigan Wound Care And Hyperbaric Institute Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346549409
PECOS PAC ID: 9234317322
Enrollment ID: O20110620000240
Entity NameAdvocates In Home Health Care, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154697993
PECOS PAC ID: 2961634795
Enrollment ID: O20140410000327
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20181004002127
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20210405000855
Entity NameHealthfair Plus Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376973461
PECOS PAC ID: 2365668720
Enrollment ID: O20220707000373
Entity NameLtc Physician Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841991817
PECOS PAC ID: 8224496575
Enrollment ID: O20230620001465

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. Victoria Dene 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 AddressPractice Location Address
Victoria Dene Clark,
30760 Nelson Circle,
Westland, MI 48186

Ph: () -		Victoria Dene Clark,
24111 Southfield Rd,
Southfield, MI 48075-2841

Ph: (248) 557-8800

Reviews and Comments


Nurse Practitioner Nurses in Southfield, MI

Mrs. Theonna Monique Hindmon-harris, NURSE PRACTITIONER
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Phone: 248-557-3337    Fax: 248-557-3339
Charmaine Adegeye,
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Ms. Jessica L Beacome, ACNP
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Phone: 248-849-8716    Fax: 248-849-2565
Teresea Ann Zarza, NP
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Phone: 248-849-2528    Fax: 248-849-8256
Nicole Noel Silvestri, NP
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Phone: 248-849-5806    Fax: 248-849-5489
Mrs. Caroline B Trapp, N.P.
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Medicare: Not Enrolled in Medicare
Practice Location: 29201 Telegraph Rd, Suite 404, Southfield, MI 48034
Phone: 248-355-0880    Fax: 248-355-9232
Mrs. Bernadette Ann Bruno, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075
Phone: 248-849-2536    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.