Ms Tempa Temera Dominique Clark, is a
Case Manager/care Coordinator based in Clinton, Mississippi. Ms Tempa Temera Dominique Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
604 Highway 80 W Ste R, Clinton, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 473-2106.
NPI number for Ms Tempa Temera Dominique Clark is 1366001810 and her current mailing address is Po Box 701, Clinton, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366001810.
Healthcare Provider's Profile
| Full Name | Ms Tempa Temera Dominique Clark |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 604 Highway 80 W Ste R, Clinton, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366001810
- Provider Enumeration Date: 06/09/2019
- Last Update Date: 08/26/2019
Medical Identifiers
Medical identifiers for Ms Tempa Temera Dominique Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366001810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Ms Tempa Temera Dominique 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 |
|---|
Ms Tempa Temera Dominique Clark,
Po Box 701,
Clinton, MS 39060-0701
Ph: (601) 473-2106 | Ms Tempa Temera Dominique Clark,
604 Highway 80 W Ste R,
Clinton, MS 39056-4108
Ph: (601) 473-2106 |
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