Williette Clark, - Licensed Practical Nurse in Montgomery Village, MD

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Williette Clark, is a Licensed Practical Nurse based in Montgomery Village, Maryland. Williette Clark is licensed to practice in District Of Columbia (license number 1003182) and her current practice location is 9311 Willow Creek Dr, Apt F, Montgomery Village, Maryland. She can be reached at her office (for appointments etc.) via phone at (240) 751-5779.

NPI number for Williette Clark is 1174984934 and her current mailing address is 9311 Willow Creek Dr, Apt F, Montgomery Village, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174984934.

Contact Information

Williette Clark,
9311 Willow Creek Dr, Apt F,
Montgomery Village, MD 20886-0422
(240) 751-5779
Not Available

Map and Direction




Provider's Profile

Full NameWilliette Clark
GenderFemale
SpecialityLicensed Practical Nurse
Location9311 Willow Creek Dr, Montgomery Village, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174984934
  • Provider Enumeration Date: 03/08/2016
  • Last Update Date: 03/08/2016

Medical Identifiers

Medical identifiers for Williette Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174984934NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 1003182 (District Of Columbia)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. Williette 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 AddressPractice Location Address
Williette Clark,
9311 Willow Creek Dr, Apt F,
Montgomery Village, MD 20886-0422

Ph: () -		Williette Clark,
9311 Willow Creek Dr, Apt F,
Montgomery Village, MD 20886-0422

Ph: (240) 751-5779

Reviews and Comments


Licensed Practical Nurse Nurses in Montgomery Village, MD


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.