Ms Ann Elizabeth Blankenship Clark, PA is a
Physician Assistant based in Apex, North Carolina. Ms Ann Elizabeth Blankenship Clark is licensed to practice in North Carolina (license number 0010-03932) and her current practice location is
1031 W Williams St, Apex, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 363-0190.
NPI number for Ms Ann Elizabeth Blankenship Clark is 1538405154 and her current mailing address is 2101 Ridgefield Dr, Chapel Hill, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538405154.
Healthcare Provider's Profile
| Full Name | Ms Ann Elizabeth Blankenship Clark |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1031 W Williams St, Apex, North Carolina |
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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: 1538405154
- Provider Enumeration Date: 12/31/2012
- Last Update Date: 12/31/2012
Medical Identifiers
Medical identifiers for Ms Ann Elizabeth Blankenship Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538405154 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | L003116 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-03932 (North Carolina) | 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 Ann Elizabeth Blankenship 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 Ann Elizabeth Blankenship Clark, PA
2101 Ridgefield Dr,
Chapel Hill, NC 27517-8661
Ph: (704) 293-6312 | Ms Ann Elizabeth Blankenship Clark, PA
1031 W Williams St,
Apex, NC 27502-3955
Ph: (919) 363-0190 |
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