Dr Rochelle Clark, DNP-A is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sewell, New Jersey. Her current practice location is
435 Hurffville Cross Keys Road, Sewell, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 582-2500.
Dr Rochelle Clark is licensed to practice in New Jersey (license number 145666) 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 1659053429.
Provider's Profile
| Full Name | Dr Rochelle Clark |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 435 Hurffville Cross Keys Road, Sewell, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659053429
- Provider Enumeration Date: 08/02/2023
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688019938
- Enrollment ID: I20240227001995
Medical Identifiers
Medical identifiers for Dr Rochelle Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659053429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 145666 (New Jersey) | 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. Dr Rochelle Clark allows following entities to bill medicare on her behalf.
| Entity Name | Rancocas Anesthesiology Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427076553
PECOS PAC ID: 2769380237
Enrollment ID: O20031222000327 |
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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. Dr Rochelle 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 |
|---|
Dr Rochelle Clark, DNP-A
15000 Midlantic Dr Ste 102,
Mount Laurel, NJ 08054-1573
Ph: () - | Dr Rochelle Clark, DNP-A
435 Hurffville Cross Keys Road,
Sewell, NJ 08080
Ph: (856) 582-2500 |
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