Dr Jennifer A Clark, MD is a
Pediatrics physician based in West Alherst, New York. Dr Jennifer A Clark is licensed to practice in New York (license number 243576) and her current practice location is 3950 E. Robinson Rd., Ste. 205, West Alherst, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 691-3400.
NPI number for Dr Jennifer A Clark is 1962522664 and her current mailing address is 8205 Main Street, Ste. 10, Williamsville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962522664.
Physician's Profile
| Full Name | Dr Jennifer A Clark |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
|---|
| Location | 3950 E. Robinson Rd., West Alherst, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962522664
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 08/05/2022
Medical Identifiers
Medical identifiers for Dr Jennifer A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962522664 | NPI | - | NPPES |
| 1962522664 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 2435761 (New York) | Secondary |
| 208000000X | Pediatrics | 243576 (New York) | 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 Jennifer A 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 |
|---|
Dr Jennifer A Clark, MD
8205 Main Street, Ste. 10,
Williamsville, NY 14221-6054
Ph: (716) 539-0789 | Dr Jennifer A Clark, MD
3950 E. Robinson Rd., Ste. 205,
West Alherst, NY 14228-2044
Ph: (716) 691-3400 |
Reviews and Comments