Mrs Grace Enu Clerk, NP in Yucaipa, CA - Medicare Nurse Practitioner

Mrs Grace Enu Clerk, NP is a medicare enrolled "Nurse Practitioner" in Yucaipa, California. Her current practice location is 35237 Yucaipa Blvd, Yucaipa, California. You can reach out to her office (for appointments etc.) via phone at (909) 790-6200.

Mrs Grace Enu Clerk is licensed to practice in California (license number NP95016640) 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 1093481772.

Contact Information

	Mrs Grace Enu Clerk, NP
	35237 Yucaipa Blvd, Yucaipa, CA 92399-4340
	(909) 790-6200
	(909) 790-6220

Map and Direction

Provider's Profile

Full Name	Mrs Grace Enu Clerk
Gender	Female
Speciality	Nurse Practitioner
Location	35237 Yucaipa Blvd, Yucaipa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093481772
Provider Enumeration Date: 08/21/2021
Last Update Date: 08/21/2021

Medicare PECOS Information:

PECOS PAC ID: 9931506243
Enrollment ID: I20210928003412

Medical Identifiers

Medical identifiers for Mrs Grace Enu Clerk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093481772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP95016640 (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 Grace Enu Clerk allows following entities to bill medicare on her behalf.

Entity Name	Tonda D Bradshaw D O A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871777664 PECOS PAC ID: 9436062270 Enrollment ID: O20031107000674

Entity Name	Care Alternatives Of California Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437267309 PECOS PAC ID: 8628980448 Enrollment ID: O20210826001586

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 Grace Enu Clerk 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 Grace Enu Clerk, NP 35237 Yucaipa Blvd, Yucaipa, CA 92399-4340 Ph: (909) 790-6200	Mrs Grace Enu Clerk, NP 35237 Yucaipa Blvd, Yucaipa, CA 92399-4340 Ph: (909) 790-6200

Reviews and Comments

Nurse Practitioner Nurses in Yucaipa, CA

Suzanne Charlotte Moore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Mi La Kim, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Carrie D Parrish, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Alaina Marie Helt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11985 4th St Ste 102, Yucaipa, CA 92399 Phone: 909-747-8416
Lisa Wong-soqui, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Gilbert Agyemang-boakye, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11711 Sand Canyon Rd, Yucaipa, CA 92399 Phone: 909-389-3272

Mrs Grace Enu Clerk, NP - Medicare Nurse Practitioner in Yucaipa, CA