Pamela Marie Clark, LPN is a
Licensed Practical Nurse based in Smyrna, New York. Pamela Marie Clark is licensed to practice in New York (license number 242825) and her current practice location is
3 South Street, Smyrna, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 244-4605.
NPI number for Pamela Marie Clark is 1326307372 and her current mailing address is Po Box 105, Smyrna, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326307372.
Provider's Profile
| Full Name | Pamela Marie Clark |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 3 South Street, Smyrna, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326307372
- Provider Enumeration Date: 05/11/2012
- Last Update Date: 05/11/2012
Medical Identifiers
Medical identifiers for Pamela Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326307372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 242825 (New York) | Primary |
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. Pamela Marie Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pamela Marie Clark, LPN
Po Box 105,
Smyrna, NY 13464-0105
Ph: () - | Pamela Marie Clark, LPN
3 South Street,
Smyrna, NY 13464-0105
Ph: (607) 244-4605 |
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