Dr Jevin Clark, MD in Providence, RI

Dr Jevin Clark, MD is a medicare enrolled "Pediatrics" physician in Providence, Rhode Island. Her current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-4393.

Dr Jevin Clark is licensed to practice in Rhode Island (license number CLP05853) 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 1912698648.

Contact Information

	Dr Jevin Clark, MD
	593 Eddy St, Providence, RI 02903-4923
	(401) 444-4393
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jevin Clark
Gender	Female
Speciality	Pediatrics
Location	593 Eddy St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912698648
Provider Enumeration Date: 05/15/2023
Last Update Date: 06/23/2023

Medicare PECOS Information:

PECOS PAC ID: 6002273406
Enrollment ID: I20230530002389

Medical Identifiers

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

Identifier	Type	State	Issuer
1912698648	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	CLP05853 (Rhode Island)	Secondary
208000000X	Pediatrics	CLP05853 (Rhode Island)	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 Jevin 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 Jevin Clark, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-4393	Dr Jevin Clark, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-4393

Reviews and Comments

Pediatrics Doctors in Providence, RI

Sara Regan Ford, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903 Phone: 401-444-4612 Fax: 401-793-8831
Jennifer F Friedman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-3870
Jason Shapiro, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088
Dr. Mikhaela Monty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-7574
Dale Steele, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-854-2504 Fax: 401-854-2519
Chase B Samsel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088
Adebimpe Olubusayo Adewusi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Porter 005, Providence, RI 02903 Phone: 401-444-2877 Fax: 401-444-3804

Dr Jevin Clark, MD - Medicare Pediatrics in Providence, RI