Janell Lanice Clark, CRNP in Philadelphia, PA

Janell Lanice Clark, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Philadelphia, Pennsylvania. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 1738 W Cheltenham Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 548-3390.

Janell Lanice Clark is licensed to practice in Pennsylvania (license number SP010694) 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 1598082059.

Contact Information

	Janell Lanice Clark, CRNP
	1738 W Cheltenham Ave, Philadelphia, PA 19126-1546
	(215) 548-3390
	(215) 549-8998

Map and Direction

Provider's Profile

Full Name	Janell Lanice Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	1738 W Cheltenham Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Janell Lanice Clark graduated from nursing school in 2009

NPI Data:

NPI Number: 1598082059
Provider Enumeration Date: 04/23/2010
Last Update Date: 10/13/2020

Medicare PECOS Information:

PECOS PAC ID: 2668655374
Enrollment ID: I20110317000569

Medical Identifiers

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

Identifier	Type	State	Issuer
1598082059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP010694 (Pennsylvania)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	SP010694 (Pennsylvania)	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. Janell Lanice Clark allows following entities to bill medicare on her behalf.

Entity Name	Sunlyte Treatment Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033704630 PECOS PAC ID: 7113320573 Enrollment ID: O20210722000731

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. Janell Lanice 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
Janell Lanice Clark, CRNP 1738 W Cheltenham Ave, Philadelphia, PA 19126-1546 Ph: (215) 548-3390	Janell Lanice Clark, CRNP 1738 W Cheltenham Ave, Philadelphia, PA 19126-1546 Ph: (215) 548-3390

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Janell Lanice Clark, CRNP - Medicare Nurse Practitioner in Philadelphia, PA