Dr Jennifer Anne Clark, MD in Washington, DC

Dr Jennifer Anne Clark, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Washington, District Of Columbia. Her current practice location is 3800 Reservoir Rd Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (585) 489-6449.

Dr Jennifer Anne Clark is licensed to practice in District Of Columbia (license number MD210011897) 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 1619468808.

Contact Information

	Dr Jennifer Anne Clark, MD
	3800 Reservoir Rd Nw, Washington, DC 20007-2113
	(585) 489-6449
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jennifer Anne Clark
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	3800 Reservoir Rd Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619468808
Provider Enumeration Date: 05/23/2018
Last Update Date: 11/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3072868645
Enrollment ID: I20241203002783

Medical Identifiers

Medical identifiers for Dr Jennifer Anne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619468808	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD210011897 (District Of Columbia)	Primary

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 Jennifer Anne Clark allows following entities to bill medicare on her behalf.

Entity Name	Medstar Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415

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 Anne Clark 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 Jennifer Anne Clark, MD 3800 Reservoir Rd Nw, Washington, DC 20007-2113 Ph: (585) 489-6449	Dr Jennifer Anne Clark, MD 3800 Reservoir Rd Nw, Washington, DC 20007-2113 Ph: (585) 489-6449

Reviews and Comments

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Dr Jennifer Anne Clark, MD - Medicare Radiology in Washington, DC