Ms Rochelle Crystal Clark, NP in Edgewood, MD

Ms Rochelle Crystal Clark, NP is a medicare enrolled "Nurse Practitioner - Family" in Edgewood, Maryland. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Paul Place Specialists, Inc. and her current practice location is 1707 Judy Way, Edgewood, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 453-6174.

Ms Rochelle Crystal Clark is licensed to practice in Maryland (license number R218420) 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 1942805577.

Contact Information

	Ms Rochelle Crystal Clark, NP
	1707 Judy Way, Edgewood, MD 21040-1832
	(443) 453-6174
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Rochelle Crystal Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1707 Judy Way, Edgewood, Maryland
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:

Ms Rochelle Crystal Clark graduated from nursing school in 2020

NPI Data:

NPI Number: 1942805577
Provider Enumeration Date: 12/01/2020
Last Update Date: 12/02/2020

Medicare PECOS Information:

PECOS PAC ID: 9830598168
Enrollment ID: I20210519000019

Medical Identifiers

Medical identifiers for Ms Rochelle Crystal Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942805577	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R218420 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center Inc	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Paul Place Specialists, Inc.	7719882943	271

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. Ms Rochelle Crystal Clark allows following entities to bill medicare on her behalf.

Entity Name	St Paul Place Specialists, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084

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. Ms Rochelle Crystal 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
Ms Rochelle Crystal Clark, NP 1707 Judy Way, Edgewood, MD 21040-1832 Ph: (443) 453-6174	Ms Rochelle Crystal Clark, NP 1707 Judy Way, Edgewood, MD 21040-1832 Ph: (443) 453-6174

Reviews and Comments

Nurse Practitioner Nurses in Edgewood, MD

Nina Rickey-sharek, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1902 Waltman Rd, Edgewood, MD 21040 Phone: 443-643-7745
Nicole Marie Diodato, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1308 Business Center Way Ste 102, Edgewood, MD 21040 Phone: 443-461-3311
Celeste Ann Saunders, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Edgewood Rd Ste 106, Edgewood, MD 21040 Phone: 443-671-4040 Fax: 443-584-5700
Ezinwanne Judith Irobereachi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2203 Philadelphia Rd, Edgewood, MD 21040 Phone: 410-612-0275 Fax: 410-612-0287
Ms. Dayon Rochelle Nelson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1952 Pulaski Hwy, Edgewood, MD 21040 Phone: 410-676-1463
Olatokunbo Adepoju, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 702 Saint Peters Ct, Edgewood, MD 21040 Phone: 443-850-4376
Elizabeth Duncklee, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1952 Pulaski Hwy, Edgewood, MD 21040 Phone: 410-676-1463

Ms Rochelle Crystal Clark, NP - Medicare Nurse Practitioner in Edgewood, MD