Christina Elena Clarke, MD is a medicare enrolled "Dermatology" physician in Havre De Grace, Maryland. She went to University Of Virginia School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Anne Arundel Dermatology Pa, Anne Arundel Dermatology Pa and her current practice location is
930 Revolution St, Havre De Grace, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 351-3376.
Christina Elena Clarke is licensed to practice in Illinois (license number 036143350) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972947059.
Physician's Profile
Full Name | Christina Elena Clarke |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 11 Years |
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Location | 930 Revolution St, Havre De Grace, Maryland |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Christina Elena Clarke attended and graduated from University Of Virginia School Of Medicine in 2013
NPI Data:
- NPI Number: 1972947059
- Provider Enumeration Date: 04/19/2013
- Last Update Date: 11/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 4688963457
- Enrollment ID: I20191210001971
Medical Identifiers
Medical identifiers for Christina Elena Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972947059 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 036143350 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Anne Arundel Dermatology Pa | 6608761960 | 97 |
Anne Arundel Dermatology Pa | 6608761960 | 97 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christina Elena Clarke allows following entities to bill medicare on her behalf.
Entity Name | Anne Arundel Dermatology Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063481703 PECOS PAC ID: 6608761960 Enrollment ID: O20040217000376 |
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Entity Name | Integrated Dermatology Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902327950 PECOS PAC ID: 2466728282 Enrollment ID: O20171024001029 |
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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. Christina Elena Clarke is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Christina Elena Clarke, MD 108 Harbourside, Williamsburg, VA 23188-8004 Ph: (757) 810-2735 | Christina Elena Clarke, MD 930 Revolution St, Havre De Grace, MD 21078-3718 Ph: (443) 351-3376 |
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