Carrie Ann Clark, FNP is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Los Gatos, California. Her current practice location is
340 Dardanelli Ln Ste 10, Los Gatos, California. You can reach out to her office (for appointments etc.) via phone at
(408) 412-8100.
Carrie Ann Clark is licensed to practice in California (license number 2017026979) 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 1285137588.
Provider's Profile
| Full Name | Carrie Ann Clark |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 340 Dardanelli Ln Ste 10, Los Gatos, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carrie Ann Clark attended and graduated from in
NPI Data:
- NPI Number: 1285137588
- Provider Enumeration Date: 03/13/2018
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Carrie Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285137588 | NPI | - | NPPES |
| 2017026979 | Other | CA | AMERICAN NURSE CREDENTIALING CENTER |
| CA303447 | Other | CA | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SF0001X | Clinical Nurse Specialist - Family Health | 2017026979 (California) | 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. Carrie Ann 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 |
|---|
Carrie Ann Clark, FNP
1115 Janis Way,
San Jose, CA 95125-3635
Ph: (408) 412-8100 | Carrie Ann Clark, FNP
340 Dardanelli Ln Ste 10,
Los Gatos, CA 95032-1418
Ph: (408) 412-8100 |
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