Dr Jeannine Avis Clark, MD - Medicare Pediatrics in Bowie, MD

Dr Jeannine Avis Clark, MD is a medicare enrolled "Pediatrics" physician in Bowie, Maryland. Her current practice location is 6915 Laurel Bowie Road, Suite 301, Bowie, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 249-8838.

Dr Jeannine Avis Clark is licensed to practice in Maryland (license number D0043862) 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 1457389892.

Contact Information

Dr Jeannine Avis Clark, MD
6915 Laurel Bowie Road, Suite 301,
Bowie, MD 20715
(301) 249-8838
(301) 249-5334



Physician's Profile

Full NameDr Jeannine Avis Clark
GenderFemale
SpecialityPediatrics
Location6915 Laurel Bowie Road, Bowie, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457389892
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 06/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153562673
  • Enrollment ID: I20130726000022

Medical Identifiers

Medical identifiers for Dr Jeannine Avis Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457389892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D0043862 (Maryland)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. Dr Jeannine Avis 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
Dr Jeannine Avis Clark, MD
6915 Laurel Bowie Road, Suite 301,
Bowie, MD 20715

Ph: (301) 249-8838
Dr Jeannine Avis Clark, MD
6915 Laurel Bowie Road, Suite 301,
Bowie, MD 20715

Ph: (301) 249-8838

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› Verified 5 days ago


Pediatrics Doctors in Bowie, MD

Dr. Amina T Watson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1700 Science Drive, Suite 102, Bowie, MD 20715
Phone: 240-556-1000    
Dr. Toni Lynn Thompson-chittams, D.O
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4357 Northview Dr, Bowie, MD 20716
Phone: 301-352-6515    Fax: 301-352-6516
Dr. Valorie Anlage, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 17001 Science Drive, Suite 116, Bowie, MD 20715
Phone: 301-464-2300    Fax: 301-776-8052
Dr. Brenda Karen Pettus-bellamy, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6915 Laurel Bowie Rd, Suite 301, Bowie, MD 20715
Phone: 301-249-8838    Fax: 301-249-5334
Dr. Necole Elease Washington, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2905 Mitchellville Rd, Suite 108, Bowie, MD 20716
Phone: 301-218-0398    Fax: 301-218-0040
Suzette Scipio - Ettienne, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2905 Mitchellville Rd, Ste 115, Bowie, MD 20716
Phone: 301-390-7960    Fax: 301-218-2800

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