Dr Juanette G Clark, FNP - Medicare Nurse Practitioner in Menifee, CA

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Dr Juanette G Clark, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Menifee, California. Her current practice location is 27168 Newport Rd, Suite 1, Menifee, California. You can reach out to her office (for appointments etc.) via phone at (951) 246-3033.

Dr Juanette G Clark is licensed to practice in California (license number 95002760) 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 1326572132.

Contact Information

Dr Juanette G Clark, FNP
27168 Newport Rd, Suite 1,
Menifee, CA 92584-7383
(951) 246-3033
(951) 246-7373

Map and Direction




Provider's Profile

Full NameDr Juanette G Clark
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location27168 Newport Rd, Menifee, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326572132
  • Provider Enumeration Date: 04/18/2017
  • Last Update Date: 08/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2365710720
  • Enrollment ID: I20170608000914

Medical Identifiers

Medical identifiers for Dr Juanette G Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326572132NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 95002760 (California)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 Juanette G Clark allows following entities to bill medicare on her behalf.
Entity NameInland Urgent Care A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285829804
PECOS PAC ID: 8628021763
Enrollment ID: O20050301000282
Entity NameInland Urgent Care Of Sun City
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134155336
PECOS PAC ID: 7517906712
Enrollment ID: O20050427001398
Entity NameMinuteclinic Diagnostic Medical Group Of Orange County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104013879
PECOS PAC ID: 5991868929
Enrollment ID: O20090116000214
Entity NameMinuteclinic Diagnostic Medical Group Of San Diego Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568659233
PECOS PAC ID: 2567520414
Enrollment ID: O20090127000249

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 Juanette G 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
Dr Juanette G Clark, FNP
683 Lomas Santa Fe Dr,
Solana Beach, CA 92075-1412

Ph: (858) 755-6697		Dr Juanette G Clark, FNP
27168 Newport Rd, Suite 1,
Menifee, CA 92584-7383

Ph: (951) 246-3033

Reviews and Comments


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Phone: 951-679-7022    Fax: 888-379-6223

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.