Tara Clark, - Medicare Nurse Practitioner in Stafford, VA

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Tara Clark, is a medicare enrolled "Nurse Practitioner - Family" in Stafford, Virginia. Her current practice location is 422 Garrisonville Rd Ste 102, Stafford, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 657-4800.

Tara Clark is licensed to practice in Virginia (license number 0024180221) 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 1033703061.

Contact Information

Tara Clark,
422 Garrisonville Rd Ste 102,
Stafford, VA 22554-1573
(540) 657-4800
Not Available

Map and Direction




Provider's Profile

Full NameTara Clark
GenderFemale
SpecialityNurse Practitioner - Family
Location422 Garrisonville Rd Ste 102, Stafford, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033703061
  • Provider Enumeration Date: 02/20/2021
  • Last Update Date: 07/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709264617
  • Enrollment ID: I20220606002131

Medical Identifiers

Medical identifiers for Tara Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033703061NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024180221 (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. Tara Clark allows following entities to bill medicare on her behalf.
Entity NameMary Washington Healthcare Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295999852
PECOS PAC ID: 2769546530
Enrollment ID: O20090123000298
Entity NameVirginia Internal Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740525245
PECOS PAC ID: 4082869250
Enrollment ID: O20130220000224
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210226002383

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. Tara 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 AddressPractice Location Address
Tara Clark,
6315 Wendover Ct,
Fredericksburg, VA 22407-5061

Ph: (386) 898-4714		Tara Clark,
422 Garrisonville Rd Ste 102,
Stafford, VA 22554-1573

Ph: (540) 657-4800

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    
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.