Dr Mary Evadne Clarke, MD is a
Internal Medicine physician based in State Farm, Virginia. Dr Mary Evadne Clarke is licensed to practice in Virginia (license number 0101049706) and her current practice location is Dmcc, State Farm, Virginia. She can be reached at her office (for appointments etc.) via phone at
(804) 598-5503.
NPI number for Dr Mary Evadne Clarke is 1477502128 and her current mailing address is 825 Roseneath Rd, Richmond, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477502128.
Physician's Profile
| Full Name | Dr Mary Evadne Clarke |
|---|
| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | Dmcc, State Farm, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477502128
- Provider Enumeration Date: 05/09/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mary Evadne Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477502128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 0101049706 (Virginia) | 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 Mary Evadne Clarke 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 Mary Evadne Clarke, MD
825 Roseneath Rd,
Richmond, VA 23221-1515
Ph: (804) 598-5503 | Dr Mary Evadne Clarke, MD
Dmcc,
State Farm, VA 23160
Ph: (804) 598-5503 |
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