Mrs Jennifer Alicia-becker Clark, MS, RD is a
Dietitian, Registered based in Michigan Center, Michigan. Mrs Jennifer Alicia-becker Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
4328 Page Ave, Michigan Center, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 764-3609.
NPI number for Mrs Jennifer Alicia-becker Clark is 1912614140 and her current mailing address is 3091 Crabtree Dr, Tecumseh, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912614140.
Healthcare Provider's Profile
Full Name | Mrs Jennifer Alicia-becker Clark |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 4328 Page Ave, Michigan Center, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912614140
- Provider Enumeration Date: 10/27/2022
- Last Update Date: 10/27/2022
Medical Identifiers
Medical identifiers for Mrs Jennifer Alicia-becker Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912614140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (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. Mrs Jennifer Alicia-becker 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 |
Mrs Jennifer Alicia-becker Clark, MS, RD 3091 Crabtree Dr, Tecumseh, MI 49286-7764 Ph: (517) 605-8311 | Mrs Jennifer Alicia-becker Clark, MS, RD 4328 Page Ave, Michigan Center, MI 49254-1077 Ph: (517) 764-3609 |
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