Shaquilla Vazquez Clark, DNP MSN CRNP FNP-BC in Falls Church, VA

Shaquilla Vazquez Clark, DNP MSN CRNP FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Falls Church, Virginia. Her current practice location is 2833 Cleave Dr, Falls Church, Virginia. You can reach out to her office (for appointments etc.) via phone at (800) 969-1104.

Shaquilla Vazquez Clark is licensed to practice in Virginia (license number 0024189531) 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 1538869789.

Contact Information

	Shaquilla Vazquez Clark, DNP MSN CRNP FNP-BC
	2833 Cleave Dr, Falls Church, VA 22042-2307
	(800) 969-1104
	Not Available

Map and Direction

Provider's Profile

Full Name	Shaquilla Vazquez Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2833 Cleave Dr, Falls Church, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538869789
Provider Enumeration Date: 03/07/2023
Last Update Date: 07/22/2024

Medicare PECOS Information:

PECOS PAC ID: 1052757945
Enrollment ID: I20240314000206

Medical Identifiers

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

Identifier	Type	State	Issuer
1538869789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R193829 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	0024189531 (Virginia)	Primary
363LF0000X	Nurse Practitioner - Family	APRN.CNP.0036121 (Ohio)	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. Shaquilla Vazquez Clark allows following entities to bill medicare on her behalf.

Entity Name	Rahel G. Yirga Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558508184 PECOS PAC ID: 0648335372 Enrollment ID: O20110404000053

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. Shaquilla Vazquez 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
Shaquilla Vazquez Clark, DNP MSN CRNP FNP-BC 2833 Cleave Dr, Falls Church, VA 22042-2307 Ph: (703) 721-8443	Shaquilla Vazquez Clark, DNP MSN CRNP FNP-BC 2833 Cleave Dr, Falls Church, VA 22042-2307 Ph: (800) 969-1104

Reviews and Comments

Nurse Practitioner Nurses in Falls Church, VA

Mrs. Cheryl Anne Fraser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4132
Melissa Ann Mcclean, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2900 Telestar Ct, Falls Church, VA 22042 Phone: 703-396-6194 Fax: 703-779-1372
Ms. Rebecca Timbo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2960 Sleepy Hollow Rd, Falls Church, VA 22044 Phone: 703-531-6120
Deborah M Hincewicz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-7512 Fax: 703-776-3700
Kellyn Patricia Dodd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6400 Arlington Blvd Suite 920, Falls Church, VA 22042 Phone: 703-241-2664 Fax: 703-241-5559
Melissa Tremblay Eatherly, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001
Ms. Jami Stehlin, DNP, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 310-880-2609

Shaquilla Vazquez Clark, DNP MSN CRNP FNP-BC - Medicare Nurse Practitioner in Falls Church, VA