Dr Shawnese Gilpin Clark, MD, MPH in Clinton, MD

Dr Shawnese Gilpin Clark, MD, MPH is a medicare enrolled "Pediatrics" physician in Clinton, Maryland. Her current practice location is 7503 Surratts Rd, Clinton, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 506-8967.

Dr Shawnese Gilpin Clark is licensed to practice in Maryland (license number D0091831) 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 1649766429.

Contact Information

	Dr Shawnese Gilpin Clark, MD, MPH
	7503 Surratts Rd, Clinton, MD 20735-3358
	(240) 506-8967
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shawnese Gilpin Clark
Gender	Female
Speciality	Pediatrics
Location	7503 Surratts Rd, Clinton, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649766429
Provider Enumeration Date: 07/05/2018
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 9739433541
Enrollment ID: I20210820000971

Medical Identifiers

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

Identifier	Type	State	Issuer
1649766429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD210001555 (District Of Columbia)	Secondary
208M00000X	Hospitalist	D91831 (Maryland)	Secondary
208000000X	Pediatrics	D0091831 (Maryland)	Primary
208000000X	Pediatrics	125.073399 (Illinois)	Secondary

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 Shawnese Gilpin Clark allows following entities to bill medicare on her behalf.

Entity Name	Mgmc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891797148 PECOS PAC ID: 9537073119 Enrollment ID: O20031118000305

Entity Name	University Of Maryland Community Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687

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 Shawnese Gilpin 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 Shawnese Gilpin Clark, MD, MPH 3400 Potomac Ave Apt 907, Arlington, VA 22202-4083 Ph: (240) 506-8967	Dr Shawnese Gilpin Clark, MD, MPH 7503 Surratts Rd, Clinton, MD 20735-3358 Ph: (240) 506-8967

Reviews and Comments

Pediatrics Doctors in Clinton, MD

Maria Milan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9015 Woodyard Rd Ste 111, Clinton, MD 20735 Phone: 301-599-0900
Dr. Josephine Vergara, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-870-7001 Fax: 301-870-6697
Renu Chandra, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9131 Piscataway Rd, #710, Clinton, MD 20735 Phone: 301-868-8654 Fax: 301-856-7298
Patrick Jean-philippe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7501 Surratts Rd, Clinton, MD 20735 Phone: 301-877-4288 Fax: 301-877-2695
Dr. Vigila Constance Harris, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9135 Piscataway Rd, Suite 200, Clinton, MD 20735 Phone: 301-856-2210 Fax: 301-856-2212
Dr. Kermit O Simrel Jr., Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9015 Woodyard Rd, Suite 111, Clinton, MD 20735 Phone: 301-599-0900 Fax: 301-599-7828

Dr Shawnese Gilpin Clark, MD, MPH - Medicare Pediatrics in Clinton, MD