Mrs Alicia Emily Woo-clark, CNS-BC is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Brunswick, Ohio. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice North Coast Endoscopy, Llc, Dayton Gastroenterology, Llc and her current practice location is
1299 Industrial Pkwy N, Suite 110, Brunswick, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 225-6468.
Mrs Alicia Emily Woo-clark is licensed to practice in Ohio (license number COA 11235-NS) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295015550.
Provider's Profile
| Full Name | Mrs Alicia Emily Woo-clark |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 16 Years |
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| Location | 1299 Industrial Pkwy N, Brunswick, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Alicia Emily Woo-clark graduated from nursing school in 2009
NPI Data:
- NPI Number: 1295015550
- Provider Enumeration Date: 08/18/2011
- Last Update Date: 12/12/2012
Medicare PECOS Information:
- PECOS PAC ID: 1456505403
- Enrollment ID: I20130129000396
Medical Identifiers
Medical identifiers for Mrs Alicia Emily Woo-clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295015550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 321964 (Ohio) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | COA 11235-NS (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Coast Endoscopy, Llc | 7214194315 | 37 |
| Dayton Gastroenterology, Llc | 9537064407 | 80 |
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. Mrs Alicia Emily Woo-clark allows following entities to bill medicare on her behalf.
| Entity Name | Dayton Gastroenterology, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134345705
PECOS PAC ID: 9537064407
Enrollment ID: O20031204000041 |
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| Entity Name | Digestive Disease Consultants Of Medina, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629284336
PECOS PAC ID: 2163523762
Enrollment ID: O20070726000584 |
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| Entity Name | North Coast Endoscopy, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386378073
PECOS PAC ID: 7214194315
Enrollment ID: O20221213003298 |
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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. Mrs Alicia Emily Woo-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 |
|---|
Mrs Alicia Emily Woo-clark, CNS-BC
1299 Industrial Pkwy N, Suite 110,
Brunswick, OH 44212-6367
Ph: (330) 225-6468 | Mrs Alicia Emily Woo-clark, CNS-BC
1299 Industrial Pkwy N, Suite 110,
Brunswick, OH 44212-6367
Ph: (330) 225-6468 |
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