Marla Jo Clancy, PMHNP-BC in Chesapeake, VA - Medicare Nurse Practitioner

Marla Jo Clancy, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chesapeake, Virginia. Her current practice location is 4041 Taylor Rd Ste G, Chesapeake, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 483-6404.

Marla Jo Clancy is licensed to practice in Virginia (license number 0024180099) 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 1023623436.

Contact Information

	Marla Jo Clancy, PMHNP-BC
	4041 Taylor Rd Ste G, Chesapeake, VA 23321-5525
	(757) 483-6404
	(757) 483-0737

Map and Direction

Provider's Profile

Full Name	Marla Jo Clancy
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4041 Taylor Rd Ste G, Chesapeake, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023623436
Provider Enumeration Date: 09/11/2020
Last Update Date: 11/07/2021

Medicare PECOS Information:

PECOS PAC ID: 8022438951
Enrollment ID: I20201015000482

Medical Identifiers

Medical identifiers for Marla Jo Clancy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023623436	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024180099 (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. Marla Jo Clancy allows following entities to bill medicare on her behalf.

Entity Name	Churchland Psychiatric Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740359223 PECOS PAC ID: 5799776654 Enrollment ID: O20040519001370

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. Marla Jo Clancy 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
Marla Jo Clancy, PMHNP-BC 4041 Taylor Rd Ste G, Chesapeake, VA 23321-5525 Ph: (757) 483-6404	Marla Jo Clancy, PMHNP-BC 4041 Taylor Rd Ste G, Chesapeake, VA 23321-5525 Ph: (757) 483-6404

Reviews and Comments

Nurse Practitioner Nurses in Chesapeake, VA

Lisa M Hills I, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4350 Taylor Road, Suite K, Chesapeake, VA 23321 Phone: 757-483-6401 Fax: 757-686-3025
Marcella Bowen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 Kent Pl, Chesapeake, VA 23320 Phone: 757-426-0605
Jessica Gregory, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1210 Progressive Dr Ste 101, Chesapeake, VA 23320 Phone: 757-991-0190
Mrs. Danielle Susan Cavallo-fat, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Bowling Green Trl, Chesapeake, VA 23320 Phone: 757-353-7525
Loretta Holley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1910 Stonehurst St, Chesapeake, VA 23324 Phone: 757-472-8893
Stacy Jarrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 Innovation Dr Ste 102, Chesapeake, VA 23320 Phone: 833-510-4357
Mrs. Rachel Fraker Firman, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 816 Greenbrier Cir Ste 100, Chesapeake, VA 23320 Phone: 757-694-4723

Marla Jo Clancy, PMHNP-BC - Medicare Nurse Practitioner in Chesapeake, VA