Dr Shawnese Gilpin Clark, MD, MPH - Medicare Pediatrics in Clinton, MD

Dr Shawnese Gilpin Clark, MD, MPH is a medicare enrolled "Pediatrics" physician in Clinton, Maryland. Her current practice location is 7503 Surratts Rd, Clinton, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 506-8967.

Dr Shawnese Gilpin Clark is licensed to practice in Maryland (license number D0091831) 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 1649766429.

Contact Information

Dr Shawnese Gilpin Clark, MD, MPH
7503 Surratts Rd,
Clinton, MD 20735-3358
(240) 506-8967
Not Available



Physician's Profile

Full NameDr Shawnese Gilpin Clark
GenderFemale
SpecialityPediatrics
Location7503 Surratts Rd, Clinton, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649766429
  • Provider Enumeration Date: 07/05/2018
  • Last Update Date: 08/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739433541
  • Enrollment ID: I20210820000971

Medical Identifiers

Medical identifiers for Dr Shawnese Gilpin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649766429NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD210001555 (District Of Columbia)Secondary
208M00000XHospitalist D91831 (Maryland)Secondary
208000000XPediatrics D0091831 (Maryland)Primary
208000000XPediatrics 125.073399 (Illinois)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. Dr Shawnese Gilpin Clark allows following entities to bill medicare on her behalf.
Entity NameMgmc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891797148
PECOS PAC ID: 9537073119
Enrollment ID: O20031118000305

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Entity NameUniversity Of Maryland Community Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477530624
PECOS PAC ID: 3678472214
Enrollment ID: O20040102000687

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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 Shawnese Gilpin 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 Shawnese Gilpin Clark, MD, MPH
3400 Potomac Ave Apt 907,
Arlington, VA 22202-4083

Ph: (240) 506-8967
Dr Shawnese Gilpin Clark, MD, MPH
7503 Surratts Rd,
Clinton, MD 20735-3358

Ph: (240) 506-8967

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Pediatrics Doctors in Clinton, MD

Maria Milan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9015 Woodyard Rd Ste 111, Clinton, MD 20735
Phone: 301-599-0900    
Dr. Josephine Vergara, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7503 Surratts Rd, Clinton, MD 20735
Phone: 301-870-7001    Fax: 301-870-6697
Renu Chandra, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9131 Piscataway Rd, #710, Clinton, MD 20735
Phone: 301-868-8654    Fax: 301-856-7298
Patrick Jean-philippe, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7501 Surratts Rd, Clinton, MD 20735
Phone: 301-877-4288    Fax: 301-877-2695
Dr. Vigila Constance Harris, MD FAAP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9135 Piscataway Rd, Suite 200, Clinton, MD 20735
Phone: 301-856-2210    Fax: 301-856-2212
Dr. Kermit O Simrel Jr.,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9015 Woodyard Rd, Suite 111, Clinton, MD 20735
Phone: 301-599-0900    Fax: 301-599-7828

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