| Janelise S Clarke, NP | |
|
14355 Miranda Way, Los Altos Hills, CA 94022-2032 | |
| (650) 546-7775 | |
| Not Available |
| Full Name | Janelise S Clarke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 14355 Miranda Way, Los Altos Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275602633 | NPI | - | NPPES |
| 000010160650 | Other | ID | REGENCE |
| 806937600 | Medicaid | ID | |
| P00393459 | Other | ID | RAILROAD MEDICARE |
| 300936 | Other | ID | ALTIUS HEALTH PLANS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | NUR-APRN-LIC-125338 (Montana) | Primary |
| 363L00000X | Nurse Practitioner | NP661A (Idaho) | Secondary |
| Entity Name | Billings Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326104845 PECOS PAC ID: 6002993516 Enrollment ID: O20080430000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Janelise S Clarke, NP 15333 N Pima Rd Ste 305, Scottsdale, AZ 85260-2717 Ph: (888) 731-8994 | Janelise S Clarke, NP 14355 Miranda Way, Los Altos Hills, CA 94022-2032 Ph: (650) 546-7775 |
Tricia Dawn Beisch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14355 Miranda Way, Los Altos Hills, CA 94022 Phone: 888-731-8994 Fax: 833-775-1861 | |
Myriam Rowland, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14355 Miranda Way, Los Altos Hills, CA 94022 Phone: 888-731-8994 Fax: 888-732-8118 | |
Jennifer Mae Prescott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14355 Miranda Way, Los Altos Hills, CA 94022 Phone: 888-731-8994 | |
Jessica Louise Bass, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14355 Miranda Way, Los Altos Hills, CA 94022 Phone: 888-731-8994 Fax: 888-732-8119 | |
Cassandra Stark, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14355 Miranda Way, Los Altos Hills, CA 94022 Phone: 888-731-8994 | |
Ms. Sarah Wallis, MSN CNM WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14355 Miranda Way, Los Altos Hills, CA 94022 Phone: 888-731-8994 Fax: 833-775-1861 | |
Wendy Rivera, DNP, AGAC NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14355 Miranda Way, Los Altos Hills, CA 94022 Phone: 888-731-8994 |