Mr Stephen Mark Clarke, RD is a
Dietitian, Registered based in Penndel, Pennsylvania. Mr Stephen Mark Clarke is licensed to practice in Pennsylvania (license number DN000171) and his current practice location is
28 Dehaven Ave, Penndel, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(215) 752-1802.
NPI number for Mr Stephen Mark Clarke is 1346410107 and his current mailing address is 28 Dehaven Ave, Penndel, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346410107.
Healthcare Provider's Profile
Full Name | Mr Stephen Mark Clarke |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 28 Dehaven Ave, Penndel, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346410107
- Provider Enumeration Date: 03/08/2008
- Last Update Date: 03/08/2008
Medical Identifiers
Medical identifiers for Mr Stephen Mark Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346410107 | NPI | - | NPPES |
001514652-0001 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DN000171 (Pennsylvania) | 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. Mr Stephen Mark Clarke 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 |
Mr Stephen Mark Clarke, RD 28 Dehaven Ave, Penndel, PA 19047-5208 Ph: (215) 752-1802 | Mr Stephen Mark Clarke, RD 28 Dehaven Ave, Penndel, PA 19047-5208 Ph: (215) 752-1802 |
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