Mrs Shelley J Clarke, NURSE PRACTITIONER in Boca Raton, FL

Mrs Shelley J Clarke, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Boca Raton, Florida. Her current practice location is 951 Nw 13th St Ste 2e, Boca Raton, Florida. You can reach out to her office (for appointments etc.) via phone at (561) 368-3455.

Mrs Shelley J Clarke is licensed to practice in Florida (license number APRN11004165) 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 1386282051.

Contact Information

	Mrs Shelley J Clarke, NURSE PRACTITIONER
	951 Nw 13th St Ste 2e, Boca Raton, FL 33486-2337
	(561) 368-3455
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shelley J Clarke
Gender	Female
Speciality	Nurse Practitioner - Family
Location	951 Nw 13th St Ste 2e, Boca Raton, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386282051
Provider Enumeration Date: 12/12/2019
Last Update Date: 11/03/2022

Medicare PECOS Information:

PECOS PAC ID: 9032563069
Enrollment ID: I20230926000410

Medical Identifiers

Medical identifiers for Mrs Shelley J Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386282051	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11004165 (Florida)	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 Shelley J Clarke allows following entities to bill medicare on her behalf.

Entity Name	Gastroenterology Consultants Of Boca Raton
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720628662 PECOS PAC ID: 3971939174 Enrollment ID: O20200206002683

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 Shelley J Clarke 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 Shelley J Clarke, NURSE PRACTITIONER 4985 Pelican St, Coconut Creek, FL 33073-2424 Ph: (954) 478-9204	Mrs Shelley J Clarke, NURSE PRACTITIONER 951 Nw 13th St Ste 2e, Boca Raton, FL 33486-2337 Ph: (561) 368-3455

Reviews and Comments

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Mrs Shelley J Clarke, NURSE PRACTITIONER - Medicare Nurse Practitioner in Boca Raton, FL