Mr Timothy Jerum Clark, NP in Staten Island, NY

Mr Timothy Jerum Clark, NP is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. His current practice location is 246 Hart Ave, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (347) 306-8981.

Mr Timothy Jerum Clark is licensed to practice in Pennsylvania (license number SP017303) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518492008.

Contact Information

	Mr Timothy Jerum Clark, NP
	246 Hart Ave, Staten Island, NY 10310-3022
	(347) 306-8981
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Timothy Jerum Clark
Gender	Male
Speciality
Experience	Years
Location	246 Hart Ave, Staten Island, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Timothy Jerum Clark attended and graduated from in

NPI Data:

NPI Number: 1518492008
Provider Enumeration Date: 04/22/2017
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Timothy Jerum Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518492008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP017303 (Pennsylvania)	Primary
363LF0000X	Nurse Practitioner - Family	341667 (New York)	Secondary

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. Mr Timothy Jerum 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 Address	Practice Location Address
Mr Timothy Jerum Clark, NP 246 Hart Ave, Staten Island, NY 10310-3022 Ph: (347) 306-8981	Mr Timothy Jerum Clark, NP 246 Hart Ave, Staten Island, NY 10310-3022 Ph: (347) 306-8981

Reviews and Comments

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Mr Timothy Jerum Clark, NP - Medicare in Staten Island, NY