Dr Claudia A Clarke, DO - Medicare Internal Medicine in Providence, RI

Dr Claudia A Clarke, DO is a medicare enrolled "Internal Medicine" physician in Providence, Rhode Island. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Thundermist Health Center and her current practice location is 239 Cranston St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-0580.

Dr Claudia A Clarke is licensed to practice in Rhode Island (license number DO00951) 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 1558621359.

Contact Information

Dr Claudia A Clarke, DO
239 Cranston St,
Providence, RI 02907
(401) 444-0580
(401) 444-0428

Map and Direction




Physician's Profile

Full NameDr Claudia A Clarke
GenderFemale
SpecialityInternal Medicine
Experience12 Years
Location239 Cranston St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Claudia A Clarke graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1558621359
  • Provider Enumeration Date: 05/25/2012
  • Last Update Date: 04/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729386776
  • Enrollment ID: I20190515002930

Medical Identifiers

Medical identifiers for Dr Claudia A Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558621359NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 268795 (Massachusetts)Secondary
208000000XPediatrics DO00951 (Rhode Island)Secondary
208000000XPediatrics 268795 (Massachusetts)Secondary
207R00000XInternal Medicine DO00951 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thundermist Health Center1557270477148

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. Dr Claudia A Clarke allows following entities to bill medicare on her behalf.
Entity NameThundermist Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700041001
PECOS PAC ID: 1557270477
Enrollment ID: O20040211000909

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 Claudia A 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 AddressPractice Location Address
Dr Claudia A Clarke, DO
375 Allens Ave,
Providence, RI 02905-5010

Ph: (401) 444-0400
Dr Claudia A Clarke, DO
239 Cranston St,
Providence, RI 02907

Ph: (401) 444-0580

Reviews and Comments


Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    Fax: 401-453-7597
Martha Catherine Trimbur, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 245 Chapman St Ste 300, Providence, RI 02905
Phone: 401-444-4741    Fax: 401-444-4445
Karl Herman, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Muhammad Baig, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Gary M Katzman, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904
Phone: 401-793-7191    Fax: 401-793-7200
Thomas Fairweather Crain, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 401-793-4630    
James Atkinson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 401-793-4500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.