Dr Annette Renae Clark-brown, MD is a medicare enrolled "Family Medicine" physician in Fort Jackson, South Carolina. Her current practice location is
4500 Stuart Street, Usa Meddac, Fort Jackson, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 751-2234.
Dr Annette Renae Clark-brown is licensed to practice in South Carolina (license number 27523) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790889178.
Physician's Profile
Full Name | Dr Annette Renae Clark-brown |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 4500 Stuart Street, Fort Jackson, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790889178
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 09/09/2011
Medicare PECOS Information:
- PECOS PAC ID: 7719042027
- Enrollment ID: I20141219000230
Medical Identifiers
Medical identifiers for Dr Annette Renae Clark-brown such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790889178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 27523 (South 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. Dr Annette Renae Clark-brown 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 |
Dr Annette Renae Clark-brown, MD 4500 Stuart Street, Moncrief Army Community Hospital Family Health Center, Fort Jackson, SC 29207-5000 Ph: (803) 751-2553 | Dr Annette Renae Clark-brown, MD 4500 Stuart Street, Usa Meddac, Fort Jackson, SC 29207 Ph: (803) 751-2234 |
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