Renna Clark, NURSE PRACTITIONER in Stafford, VA

Renna Clark, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Women's Health" in Stafford, Virginia. Her current practice location is 955 E Wonder Rd, Stafford, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 741-7893.

Renna Clark is licensed to practice in Virginia (license number 0024184881) 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 1992428361.

Contact Information

	Renna Clark, NURSE PRACTITIONER
	955 E Wonder Rd, Stafford, VA 22554
	(540) 741-7893
	(540) 741-9778

Map and Direction

Provider's Profile

Full Name	Renna Clark
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	955 E Wonder Rd, Stafford, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992428361
Provider Enumeration Date: 09/21/2022
Last Update Date: 01/16/2025

Medicare PECOS Information:

PECOS PAC ID: 2961840129
Enrollment ID: I20240405003820

Medical Identifiers

Medical identifiers for Renna Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992428361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	0024184881 (Virginia)	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. Renna Clark allows following entities to bill medicare on her behalf.

Entity Name	Mary Washington Healthcare Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295999852 PECOS PAC ID: 2769546530 Enrollment ID: O20090123000298

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. Renna 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
Renna Clark, NURSE PRACTITIONER 3775 Fettler Park Dr Unit A5, Dumfries, VA 22025-1946 Ph: (703) 441-3555	Renna Clark, NURSE PRACTITIONER 955 E Wonder Rd, Stafford, VA 22554 Ph: (540) 741-7893

Reviews and Comments

Nurse Practitioner Nurses in Stafford, VA

Julie Ann Weathers, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 955 E Wonder Rd, Stafford, VA 22554 Phone: 540-741-7892 Fax: 540-741-9778
Jennifer Schermerhorn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Gardenia Dr, Stafford, VA 22554 Phone: 361-563-4065
Tara Clark, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 422 Garrisonville Rd Ste 102, Stafford, VA 22554 Phone: 540-657-4800
Amanda O'donnell, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26 Ocala Way, Stafford, VA 22556 Phone: 571-244-3434
Kelly Nicole Stephens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Center Blvd, Stafford, VA 22554 Phone: 540-741-1100
Patricia Konadu Amankwa, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32 Whitestone Dr, Stafford, VA 22556 Phone: 703-203-2136
Mrs. Angie Marie Burt, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Center Street, Suite 101, Stafford, VA 22556 Phone: 540-288-2222 Fax: 703-858-3529

Renna Clark, NURSE PRACTITIONER - Medicare Nurse Practitioner in Stafford, VA