Mrs Brittani Jolai Clark, CPNP-PC in San Fernando, CA

Mrs Brittani Jolai Clark, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in San Fernando, California. Her current practice location is 1172 N Maclay Ave, San Fernando, California. You can reach out to her office (for appointments etc.) via phone at (818) 898-1388.

Mrs Brittani Jolai Clark is licensed to practice in California (license number 95004797) 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 1649727199.

Contact Information

	Mrs Brittani Jolai Clark, CPNP-PC
	1172 N Maclay Ave, San Fernando, CA 91340-1328
	(818) 898-1388
	(818) 270-9590

Map and Direction

Provider's Profile

Full Name	Mrs Brittani Jolai Clark
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1172 N Maclay Ave, San Fernando, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649727199
Provider Enumeration Date: 09/01/2016
Last Update Date: 09/01/2016

Medicare PECOS Information:

PECOS PAC ID: 3779864186
Enrollment ID: I20161223000338

Medical Identifiers

Medical identifiers for Mrs Brittani Jolai Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649727199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	95004797 (California)	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. Mrs Brittani Jolai Clark allows following entities to bill medicare on her behalf.

Entity Name	Northeast Valley Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067

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 Brittani Jolai 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 Brittani Jolai Clark, CPNP-PC 28847 W Hills Dr, Valencia, CA 91354-3055 Ph: (951) 283-7146	Mrs Brittani Jolai Clark, CPNP-PC 1172 N Maclay Ave, San Fernando, CA 91340-1328 Ph: (818) 898-1388

Reviews and Comments

Nurse Practitioner Nurses in San Fernando, CA

Ms. Rebecca Lee Cross, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 San Fernando Rd, San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826
Tiffany Rose Leano Ynoquio, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 732 Mott St, San Fernando, CA 91340 Phone: 818-963-5690 Fax: 818-365-0726
Elizabeth Maria Garcia, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 732 Mott St # 100-110, San Fernando, CA 91340 Phone: 818-963-5690
Ms. Kathryn Roene Steffen, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 San Fernando Rd., San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826
Aura Veliz, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 N Maclay Ave, Suite 104, San Fernando, CA 91340 Phone: 818-361-3318 Fax: 818-361-7309
Mrs. Rowena Reyes Alcantara-fernandez, N.P. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1600 San Fernando Road, San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826
Ani Balabegian, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 732 Mott St Ste 100, San Fernando, CA 91340 Phone: 951-784-0018 Fax: 951-784-0815

Mrs Brittani Jolai Clark, CPNP-PC - Medicare Nurse Practitioner in San Fernando, CA