Dr Juliana Jackson Clark, MD in Raleigh, NC

Dr Juliana Jackson Clark, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Raleigh, North Carolina. Her current practice location is 2406 Blue Ridge Rd, Suite 100, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 786-5001.

Dr Juliana Jackson Clark is licensed to practice in North Carolina (license number 200300622) 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 1982675344.

Contact Information

	Dr Juliana Jackson Clark, MD
	2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678
	(919) 786-5001
	(919) 786-5051

Map and Direction

Physician's Profile

Full Name	Dr Juliana Jackson Clark
Gender	Female
Speciality	Pediatrics - Adolescent Medicine
Location	2406 Blue Ridge Rd, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982675344
Provider Enumeration Date: 02/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9638108731
Enrollment ID: I20050809000802

Medical Identifiers

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

Identifier	Type	State	Issuer
1982675344	NPI	-	NPPES
89138NX	Medicaid	NC
138NX	Other	NC	BLUECROSSBLUESHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	200300622 (North Carolina)	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 Juliana Jackson Clark allows following entities to bill medicare on her behalf.

Entity Name	Jeffers Mann & Artman Pediatric & Adolesent Medicine Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962466631 PECOS PAC ID: 0840425922 Enrollment ID: O20131025000850

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 Juliana Jackson 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 Juliana Jackson Clark, MD 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 Ph: (919) 786-5001	Dr Juliana Jackson Clark, MD 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 Ph: (919) 786-5001

Reviews and Comments

Pediatrics Doctors in Raleigh, NC

Sarah Owrey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Blue Ridge Rd, Suite 401, Raleigh, NC 27607 Phone: 919-781-7490
Robert C Helms, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Falls Valley Drive, Raleigh, NC 27615 Phone: 919-872-0250 Fax: 919-848-3137
Dr. Christina Marie Flannelly, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8300 Health Park Ste 213, Raleigh, NC 27615 Phone: 919-896-7066 Fax: 919-896-7067
Jeff Lawrence Kantor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Sunnybrook Rd, Raleigh, NC 27610 Phone: 919-235-6435
Dr. Delouis Terlonge Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3801 Computer Dr, Suite 200, Raleigh, NC 27609 Phone: 919-782-5273 Fax: 919-232-5551
Larissa M. Saldana, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4551 New Bern Ave, Suite 160, Raleigh, NC 27610 Phone: 919-861-7793 Fax: 919-488-1458
Dr. Bridget Mcnamara Degele, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607 Phone: 919-786-5001 Fax: 919-786-5051

Dr Juliana Jackson Clark, MD - Medicare Pediatrics in Raleigh, NC