Mrs Kristin Marie Jerome Clark, PA-C in Woodbridge, VA

Mrs Kristin Marie Jerome Clark, PA-C is a medicare enrolled "Physician Assistant" in Woodbridge, Virginia. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Inova Health Care Services and her current practice location is 14010 Smoketown Rd Ste 117, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (718) 920-6656.

Mrs Kristin Marie Jerome Clark is licensed to practice in Virginia (license number 0110003441) 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 1528291069.

Contact Information

	Mrs Kristin Marie Jerome Clark, PA-C
	14010 Smoketown Rd Ste 117, Woodbridge, VA 22192-4704
	(718) 920-6656
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kristin Marie Jerome Clark
Gender	Female
Speciality	Physician Assistant
Experience	16 Years
Location	14010 Smoketown Rd Ste 117, Woodbridge, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kristin Marie Jerome Clark graduated from nursing school in 2008

NPI Data:

NPI Number: 1528291069
Provider Enumeration Date: 09/01/2009
Last Update Date: 04/06/2016

Medicare PECOS Information:

PECOS PAC ID: 4587701818
Enrollment ID: I20140319000959

Medical Identifiers

Medical identifiers for Mrs Kristin Marie Jerome Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528291069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0110003441 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Inova Fairfax Hospital	Falls church, VA	Hospital
Inova Alexandria Hospital	Alexandria, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Inova Health Care Services	2466351093	1778

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 Kristin Marie Jerome 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 Kristin Marie Jerome Clark, PA-C 14010 Smoketown Rd, Woodbridge, VA 22192-4722 Ph: (201) 669-8040	Mrs Kristin Marie Jerome Clark, PA-C 14010 Smoketown Rd Ste 117, Woodbridge, VA 22192-4704 Ph: (718) 920-6656

Reviews and Comments

Physician Assistant Nurses in Woodbridge, VA

Christopher Rowley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14900 Potomac Town Pl Ste 110, Woodbridge, VA 22191 Phone: 540-351-0662
Melissa Haug, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14605 Potomac Branch Dr Ste 300, Woodbridge, VA 22191 Phone: 703-490-1112
Cassandra J Vazquez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1000
Katherine D Lyons, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14348 Gideon Dr, Woodbridge, VA 22192 Phone: 703-490-1112 Fax: 703-878-8732
Tairy Adams Johnson, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1504
Jianing Zhang Chaney, PH.D, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14000 Crown Ct Ste 201, Woodbridge, VA 22193 Phone: 703-499-8787
Mr. Kurt Kusakabe Hardy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3985 Prince William Pkwy Ste 102, Woodbridge, VA 22192 Phone: 703-590-8375

Mrs Kristin Marie Jerome Clark, PA-C - Medicare Physician Assistant in Woodbridge, VA