Mrs Victoria Alexandria Clark, APRN in Tampa, FL

Mrs Victoria Alexandria Clark, APRN is a medicare enrolled "Nurse Practitioner - Family" in Tampa, Florida. Her current practice location is 4321 N Macdill Ave Ste 205, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 961-7440.

Mrs Victoria Alexandria Clark is licensed to practice in Florida (license number 11017713) 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 1265184899.

Contact Information

	Mrs Victoria Alexandria Clark, APRN
	4321 N Macdill Ave Ste 205, Tampa, FL 33607-6390
	(813) 961-7440
	(813) 962-0951

Map and Direction

Provider's Profile

Full Name	Mrs Victoria Alexandria Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4321 N Macdill Ave Ste 205, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265184899
Provider Enumeration Date: 01/25/2022
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 7113373846
Enrollment ID: I20231031003777

Medical Identifiers

Medical identifiers for Mrs Victoria Alexandria Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265184899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11017713 (Florida)	Primary
363LW0102X	Nurse Practitioner - Women's Health	11017713 (Florida)	Secondary

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 Victoria Alexandria Clark allows following entities to bill medicare on her behalf.

Entity Name	Womens Care Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078

Entity Name	Womens' Health Hospitalists, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205295599 PECOS PAC ID: 1850674870 Enrollment ID: O20170216001354

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 Victoria Alexandria 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 Victoria Alexandria Clark, APRN Po Box 748817, Atlanta, GA 30374-8817 Ph: (813) 286-0033	Mrs Victoria Alexandria Clark, APRN 4321 N Macdill Ave Ste 205, Tampa, FL 33607-6390 Ph: (813) 961-7440

Reviews and Comments

Nurse Practitioner Nurses in Tampa, FL

Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Mrs Victoria Alexandria Clark, APRN - Medicare Nurse Practitioner in Tampa, FL