Viletha Small-clarke, in Brooklyn, NY - Medicare Nurse Practitioner

Viletha Small-clarke, is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn, New York. Her current practice location is 441 E 53rd St, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (347) 982-3034.

Viletha Small-clarke is licensed to practice in New York (license number 340959) 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 1003341850.

Contact Information

	Viletha Small-clarke,
	441 E 53rd St, Brooklyn, NY 11203-4505
	(347) 982-3034
	Not Available

Map and Direction

Provider's Profile

Full Name	Viletha Small-clarke
Gender	Female
Speciality	Nurse Practitioner - Family
Location	441 E 53rd St, Brooklyn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003341850
Provider Enumeration Date: 04/28/2017
Last Update Date: 04/28/2017

Medicare PECOS Information:

PECOS PAC ID: 8022481472
Enrollment ID: I20230306000818

Medical Identifiers

Medical identifiers for Viletha Small-clarke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003341850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	340959 (New York)	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. Viletha Small-clarke allows following entities to bill medicare on her behalf.

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558627844 PECOS PAC ID: 2264691070 Enrollment ID: O20120724000505

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. Viletha Small-clarke 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
Viletha Small-clarke, 441 East 53rd Street, Brooklyn, NY 11203 Ph: (347) 982-3034	Viletha Small-clarke, 441 E 53rd St, Brooklyn, NY 11203-4505 Ph: (347) 982-3034

Reviews and Comments

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Viletha Small-clarke, - Medicare Nurse Practitioner in Brooklyn, NY