Victoria Ivellise Clark, MD in Washington, DC - Medicare Orthopaedic Surgery

Victoria Ivellise Clark, MD is a medicare enrolled "Orthopaedic Surgery" physician in Washington, District Of Columbia. Her current practice location is 2041 Georgia Ave Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 865-6100.

Victoria Ivellise Clark is licensed to practice in New York (license number 317706) 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 1619362183.

Contact Information

	Victoria Ivellise Clark, MD
	2041 Georgia Ave Nw, Washington, DC 20060-0001
	(202) 865-6100
	Not Available

Map and Direction

Physician's Profile

Full Name	Victoria Ivellise Clark
Gender	Female
Speciality	Orthopaedic Surgery
Location	2041 Georgia Ave Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619362183
Provider Enumeration Date: 04/01/2015
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 2163715335
Enrollment ID: I20220826001110

Medical Identifiers

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

Identifier	Type	State	Issuer
1619362183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	317706 (New York)	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. Victoria Ivellise Clark allows following entities to bill medicare on her behalf.

Entity Name	Bronxcare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245390855 PECOS PAC ID: 3870404429 Enrollment ID: O20040526001082

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. Victoria Ivellise 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
Victoria Ivellise Clark, MD 2041 Georgia Ave Nw, Washington, DC 20060-0001 Ph: () -	Victoria Ivellise Clark, MD 2041 Georgia Ave Nw, Washington, DC 20060-0001 Ph: (202) 865-6100

Reviews and Comments

Orthopaedic Surgery Doctors in Washington, DC

Fred Mo, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3800 Reservoir Rd Nw, Washington, DC 20007 Phone: 202-444-8766 Fax: 202-444-1655
Dr. Panagiotis A Labropoulos, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2150 Pennsylvania Ave Nw, 7th Floor, Washington, DC 20037 Phone: 202-741-3305 Fax: 202-741-3313
Dr. Harvey M. Cohen, M. D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: Walter Reed Army Medical Ctr, Washington, DC 20307 Phone: 202-782-0292 Fax: 202-782-6845
Olivia Mae Larussa, PA-C Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 900 23rd St Nw, Washington, DC 20037 Phone: 202-741-3000
Dr. Craig Robert Faulks, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Washington Cir Nw, Suite 404, Washington, DC 20037 Phone: 202-333-2820 Fax: 202-833-1410
Dr. Melinda Miller Gardner, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3301 New Mexico Ave Nw, Ste 248, Washington, DC 20016 Phone: 202-244-0706 Fax: 202-686-6278
Shannon Mcclure Kelly, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 111 Michigan Ave Nw, Orthopaedic Surgery, Washington, DC 20010 Phone: 202-476-4063 Fax: 202-476-4613

Victoria Ivellise Clark, MD - Medicare Orthopaedic Surgery in Washington, DC