Ms Kerry Clark, AGNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Alexandria, Virginia. Her current practice location is
4660 Kenmore Avenue, Suite 305 & 500, Alexandria, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 988-4683.
Ms Kerry Clark is licensed to practice in Virginia (license number 0024178999) 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 1932575743.
Physician's Profile
| Full Name | Ms Kerry Clark |
|---|
| Gender | Female |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 4660 Kenmore Avenue, Suite 305 & 500, Alexandria, Virginia |
|---|
| 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:
- Ms Kerry Clark attended and graduated from in
NPI Data:
- NPI Number: 1932575743
- Provider Enumeration Date: 08/15/2015
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Kerry Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932575743 | NPI | - | NPPES |
| 1932575743 | Medicaid | VA | |
| 30016021870002 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | RN1038780 (District Of Columbia) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 0024178999 (Virginia) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 0024178999 (Virginia) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 0024178999 (Virginia) | Secondary |
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. Ms Kerry 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 |
|---|
Ms Kerry Clark, AGNP-BC
224-d Cornwall St, Suite 403,
Leesburg, VA 20176-2704
Ph: (703) 737-6010 | Ms Kerry Clark, AGNP-BC
4660 Kenmore Avenue, Suite 305 & 500,
Alexandria, VA 22304-1306
Ph: (703) 988-4683 |
Reviews and Comments