Kathryn Jane Clarke, in Dulles, VA - Medicare Nurse Practitioner

Kathryn Jane Clarke, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dulles, Virginia. Her current practice location is 5270 Budapest Pl, Dulles, Virginia. You can reach out to her office (for appointments etc.) via phone at (206) 512-6556.

Kathryn Jane Clarke is licensed to practice in Virginia (license number 0024175369) 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 1831642438.

Contact Information

	Kathryn Jane Clarke,
	5270 Budapest Pl, Dulles, VA 20189-5269
	(206) 512-6556
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathryn Jane Clarke
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5270 Budapest Pl, Dulles, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831642438
Provider Enumeration Date: 07/31/2016
Last Update Date: 05/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3678855426
Enrollment ID: I20190110000421

Medical Identifiers

Medical identifiers for Kathryn Jane Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831642438	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001275652 (Virginia)	Secondary
163W00000X	Registered Nurse	RN 60141168 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024175369 (Virginia)	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. Kathryn Jane Clarke allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20180531001919

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. Kathryn Jane Clarke 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
Kathryn Jane Clarke, 5270 Budapest Pl, Dulles, VA 20189-5269 Ph: (206) 512-6556	Kathryn Jane Clarke, 5270 Budapest Pl, Dulles, VA 20189-5269 Ph: (206) 512-6556

Reviews and Comments

Nurse Practitioner Nurses in Dulles, VA

Danah Jagueta Balmaceda, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd, Dulles, VA 20166 Phone: 571-439-4000
Woon Go, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd Suite 135, Dulles, VA 20166 Phone: 703-957-1255
Mrs. Annette Dorothy Blakeslee, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Vienna Pl, Dulles, VA 20189 Phone: 431-320-0367 Fax: 131-339-2915
Chandler Clark, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24440 Stone Springs Blvd, Dulles, VA 20166 Phone: 571-349-4000
Andrew Roessler Martin, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd., Suite 100, Dulles, VA 20166 Phone: 703-437-3850 Fax: 703-437-7888
Christina L Denton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd Ste 400, Dulles, VA 20166 Phone: 703-766-5040
Haena Bryant, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24430 Stone Springs Blvd Unit 425, Dulles, VA 20166 Phone: 703-722-5860

Kathryn Jane Clarke, - Medicare Nurse Practitioner in Dulles, VA