Chandler Clark, NP in Dulles, VA - Medicare Nurse Practitioner

Chandler Clark, NP is a medicare enrolled "Nurse Practitioner - Neonatal" in Dulles, Virginia. Her current practice location is 24440 Stone Springs Blvd, Dulles, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 349-4000.

Chandler Clark is licensed to practice in Virginia (license number 0024185283) 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 1114632130.

Contact Information

	Chandler Clark, NP
	24440 Stone Springs Blvd, Dulles, VA 20166-2247
	(571) 349-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Chandler Clark
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	24440 Stone Springs Blvd, Dulles, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114632130
Provider Enumeration Date: 01/16/2023
Last Update Date: 03/21/2023

Medicare PECOS Information:

PECOS PAC ID: 0941675078
Enrollment ID: I20230403002467

Medical Identifiers

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

Identifier	Type	State	Issuer
1114632130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	0024185283 (Virginia)	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. Chandler Clark allows following entities to bill medicare on her behalf.

Entity Name	Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130

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. Chandler 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
Chandler Clark, NP 1795 Lanier Pl Nw Apt 5, Washington, DC 20009-2599 Ph: (913) 226-0342	Chandler Clark, NP 24440 Stone Springs Blvd, Dulles, VA 20166-2247 Ph: (571) 349-4000

Reviews and Comments

Nurse Practitioner Nurses in Dulles, VA

Danah Jagueta Balmaceda, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd, Dulles, VA 20166 Phone: 571-439-4000
Woon Go, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd Suite 135, Dulles, VA 20166 Phone: 703-957-1255
Mrs. Annette Dorothy Blakeslee, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Vienna Pl, Dulles, VA 20189 Phone: 431-320-0367 Fax: 131-339-2915
Andrew Roessler Martin, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd., Suite 100, Dulles, VA 20166 Phone: 703-437-3850 Fax: 703-437-7888
Christina L Denton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd Ste 400, Dulles, VA 20166 Phone: 703-766-5040
Haena Bryant, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24430 Stone Springs Blvd Unit 425, Dulles, VA 20166 Phone: 703-722-5860

Chandler Clark, NP - Medicare Nurse Practitioner in Dulles, VA