Beryl Akinyi Nyambok Clark, is a
Community Health Worker based in Columbus, Ohio. Beryl Akinyi Nyambok Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
360 S Grant Ave, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(614) 407-1243.
NPI number for Beryl Akinyi Nyambok Clark is 1083215289 and her current mailing address is 50 Jefferson Ave Apt 209, Columbus, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083215289.
Healthcare Provider's Profile
| Full Name | Beryl Akinyi Nyambok Clark |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 360 S Grant Ave, Columbus, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083215289
- Provider Enumeration Date: 11/04/2020
- Last Update Date: 07/22/2024
Medical Identifiers
Medical identifiers for Beryl Akinyi Nyambok Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083215289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.179671 (Ohio) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | 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. Beryl Akinyi Nyambok 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 |
|---|
Beryl Akinyi Nyambok Clark,
50 Jefferson Ave Apt 209,
Columbus, OH 43215-3849
Ph: () - | Beryl Akinyi Nyambok Clark,
360 S Grant Ave,
Columbus, OH 43215-5537
Ph: (614) 407-1243 |
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