Letitia Clark, in Washington, DC - Medicare Diagnostic Radiology

Letitia Clark, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Washington, District Of Columbia. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Physician Imaging Of Washington Hospital Center Llc, Physician Imaging Of Washington Hospital Center Llc and 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 (202) 444-3400.

Letitia Clark is licensed to practice in District Of Columbia (license number 14380) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497753552.

Contact Information

	Letitia Clark,
	3800 Reservoir Rd Nw, Washington, DC 20007-2113
	(202) 444-3400
	Not Available

Map and Direction

Physician's Profile

Full Name	Letitia Clark
Gender	Female
Speciality	Diagnostic Radiology
Experience	45 Years
Location	3800 Reservoir Rd Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Letitia Clark attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 1979

NPI Data:

NPI Number: 1497753552
Provider Enumeration Date: 07/13/2005
Last Update Date: 03/05/2012

Medicare PECOS Information:

PECOS PAC ID: 2961678917
Enrollment ID: I20111222000260

Medical Identifiers

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

Identifier	Type	State	Issuer
1497753552	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	14380 (District Of Columbia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physician Imaging Of Washington Hospital Center Llc	6204910292	88
Physician Imaging Of Washington Hospital Center Llc	6204910292	88

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. Letitia 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: O20031220000056

Entity Name	Physician Imaging Of Washington Hospital Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831385871 PECOS PAC ID: 6204910292 Enrollment ID: O20080229000143

Entity Name	Medstar Medical Group Radiology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326450156 PECOS PAC ID: 1557589157 Enrollment ID: O20140826000263

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. Letitia 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
Letitia Clark, Po Box 418283, Boston, MA 02241-8283 Ph: (703) 558-1544	Letitia Clark, 3800 Reservoir Rd Nw, Washington, DC 20007-2113 Ph: (202) 444-3400

Reviews and Comments

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Letitia Clark, - Medicare Diagnostic Radiology in Washington, DC