Kemah Clarke, CRNP in Belcamp, MD - Medicare Nurse Practitioner

Kemah Clarke, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Belcamp, Maryland. Her current practice location is 220 Golden Eagle Way, Belcamp, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 801-0345.

Kemah Clarke is licensed to practice in Maryland (license number 2022096144) 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 1700588092.

Contact Information

	Kemah Clarke, CRNP
	220 Golden Eagle Way, Belcamp, MD 21017-1536
	(443) 801-0345
	Not Available

Map and Direction

Provider's Profile

Full Name	Kemah Clarke
Gender	Female
Speciality	Nurse Practitioner - Family
Location	220 Golden Eagle Way, Belcamp, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700588092
Provider Enumeration Date: 03/20/2023
Last Update Date: 03/20/2023

Medicare PECOS Information:

PECOS PAC ID: 5597128728
Enrollment ID: I20230905003927

Medical Identifiers

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

Identifier	Type	State	Issuer
1700588092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2022096144 (Maryland)	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. Kemah Clarke allows following entities to bill medicare on her behalf.

Entity Name	Novus Pain Management - Maryland, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720440449 PECOS PAC ID: 7416255963 Enrollment ID: O20160415001610

Entity Name	Optimize Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952818999 PECOS PAC ID: 0446512040 Enrollment ID: O20180320000084

Entity Name	Alegis Care- Maryland Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871195644 PECOS PAC ID: 7719388891 Enrollment ID: O20210628000010

Entity Name	Evernorth Care Providers - Delaware Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063284032 PECOS PAC ID: 6002217973 Enrollment ID: O20231206001646

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. Kemah 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
Kemah Clarke, CRNP 220 Golden Eagle Way, Belcamp, MD 21017-1536 Ph: () -	Kemah Clarke, CRNP 220 Golden Eagle Way, Belcamp, MD 21017-1536 Ph: (443) 801-0345

Reviews and Comments

Nurse Practitioner Nurses in Belcamp, MD

Kayla Herne, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Bata Blvd, Belcamp, MD 21017 Phone: 410-575-6611
Mrs. Eva Christina Carbone, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1321 Riverside Pkwy Ste A3, Belcamp, MD 21017 Phone: 443-327-7449 Fax: 443-345-1245
Ms. Deborah Joan Starr, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Bata Blvd, Suite A, Belcamp, MD 21017 Phone: 410-575-6611 Fax: 410-575-6018
Amy Scott, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1123 Belcamp Garth, Belcamp, MD 21017 Phone: 410-575-6400
Monique Michall Samuel, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 312 Kestrel Dr, Belcamp, MD 21017 Phone: 134-765-3347
Alethea Scherer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1321 Riverside Pkwy Ste A3, Belcamp, MD 21017 Phone: 443-327-7449 Fax: 443-345-1245
Amanda Kelly, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Bata Blvd Ste A, Belcamp, MD 21017 Phone: 410-575-6611

Kemah Clarke, CRNP - Medicare Nurse Practitioner in Belcamp, MD