Jennifer Rae Clark, CPNP-PC - Medicare Nurse Practitioner in League City, TX

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Jennifer Rae Clark, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in League City, Texas. Her current practice location is 2800 E League City Pkwy Apt 216, League City, Texas. You can reach out to her office (for appointments etc.) via phone at (907) 350-8538.

Jennifer Rae Clark is licensed to practice in Texas (license number AP142270) 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 1982249926.

Contact Information

Jennifer Rae Clark, CPNP-PC
2800 E League City Pkwy Apt 216,
League City, TX 77573-1676
(907) 350-8538
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Rae Clark
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location2800 E League City Pkwy Apt 216, League City, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982249926
  • Provider Enumeration Date: 11/13/2019
  • Last Update Date: 11/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6507397031
  • Enrollment ID: I20241008001329

Medical Identifiers

Medical identifiers for Jennifer Rae Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982249926NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics AP142270 (Texas)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. Jennifer Rae Clark allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Gulf Coast Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578969465
PECOS PAC ID: 4688999022
Enrollment ID: O20150206000763

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. Jennifer Rae 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 AddressPractice Location Address
Jennifer Rae Clark, CPNP-PC
2251 Fm 646 Rd W Ste 155,
Dickinson, TX 77539-3256

Ph: (907) 350-8538		Jennifer Rae Clark, CPNP-PC
2800 E League City Pkwy Apt 216,
League City, TX 77573-1676

Ph: (907) 350-8538

Reviews and Comments


Nurse Practitioner Nurses in League City, TX

Mrs. Laura Day Ellender, RN, CEN, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 6465 S Shore Blvd, League City, TX 77573
Phone: 281-538-7735    
Tammy Renee Brown, MSN, RN, ACNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 6117 Carlisle Ln, League City, TX 77573
Phone: 832-628-7943    
Miss Temiloluwa Olatunde Oduyejo, NP
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Medicare: Medicare Enrolled
Practice Location: 2205 W Walker St Apt 3232, League City, TX 77573
Phone: 386-262-2166    
Mona Kidwell, N.P.
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Medicare: Not Enrolled in Medicare
Practice Location: 2785 Gulf Fwy S, Suite 115, League City, TX 77573
Phone: 832-816-1370    
Hilma Peiso Bochantin, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 2240 Gulf Fwy S, League City, TX 77573
Phone: 832-505-1234    
Lorelei Marquez Liquigan, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 805 Maplewood Dr, League City, TX 77573
Phone: 281-898-3436    
Cheryl Brackens, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2955 Gulf Fwy S, League City, TX 77573
Phone: 713-935-0333    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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