Jennifer Diane Clark, MD - Medicare Pediatrics in Midlothian, VA

Jennifer Diane Clark, MD is a medicare enrolled "Pediatrics" physician in Midlothian, Virginia. Her current practice location is 14732 Village Square Pl, Midlothian, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 639-0717.

Jennifer Diane Clark is licensed to practice in Maine (license number MD23961) 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 1871556878.

Contact Information

Jennifer Diane Clark, MD
14732 Village Square Pl,
Midlothian, VA 23112-2253
(804) 639-0717
(804) 639-0767



Physician's Profile

Full NameJennifer Diane Clark
GenderFemale
SpecialityPediatrics
Location14732 Village Square Pl, Midlothian, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871556878
  • Provider Enumeration Date: 04/10/2006
  • Last Update Date: 01/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5799196952
  • Enrollment ID: I20201119003123

Medical Identifiers

Medical identifiers for Jennifer Diane Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871556878NPI-NPPES
432058755OtherVATRICARE
1382954OtherVAFIRST HEALTH NETWORK
010121086MedicaidVA
10007264OtherVAOPTIMA HEALTH
1240927OtherVAUNITED HEALTH CARE
171941OtherVAANTHEM BCBS
5056305OtherVAFHN PRODUCT, CCN
299592OtherVASOUTHERN HEALTH
5214032OtherVAAETNA PPO
432058755OtherVAGREAT WEST
3649627OtherVAAETNA HMO
4768718OtherVACIGNA
432058755OtherVAPHCS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101 056329 (Virginia)Secondary
208000000XPediatrics MD23961 (Maine)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. Jennifer Diane Clark allows following entities to bill medicare on her behalf.
Entity NameMrh Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558319103
PECOS PAC ID: 1355770892
Enrollment ID: O20200803002384

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› Verified 4 days ago

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. Jennifer Diane 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
Jennifer Diane Clark, MD
14732 Village Square Pl,
Midlothian, VA 23112-2253

Ph: (804) 639-0717
Jennifer Diane Clark, MD
14732 Village Square Pl,
Midlothian, VA 23112-2253

Ph: (804) 639-0717

News Archive

War and forced displacement have reduced the transmission of HIV in sub-Saharan Africa

Conflict, forced displacement, and wide-scale rape have not increased the prevalence of HIV in sub-Saharan Africa, conclude the authors of an Article in this week's issue of The Lancet.

Epocal receives FDA marketing clearance for new lactate test on epoc Blood Analysis System

Epocal, Inc., a leading edge provider of point of care technology, announced today that it has received U.S. Food and Drug Administration (FDA) clearance to market its new lactate test on the epoc Blood Analysis System. Lactate measurements from the epoc System are used to evaluate acid-base status and for diagnosis and treatment of lactic acidosis (abnormally high acidity of the blood).

New study: Alcohol-related chronic pancreatitis is lower than other causes

The relative rate of alcohol-related chronic pancreatitis is lower when compared to other causes, according to a new study in Clinical Gastroenterology and Hepatology, the official journal of the American Gastroenterological Association Institute.

Non-invasive diagnostic imaging can rule out CAD in about 50% of women with atypical chest pain

Non-invasive diagnostic imaging can rule out coronary artery disease (CAD) in about 50% of women with atypical chest pain who are at relatively low risk for CAD, while exposing them to only a modest dose of radiation.

Read more News

› Verified 4 days ago


Pediatrics Doctors in Midlothian, VA

Dr. Joel C Everett, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 13821 Village Mill Dr, Midlothian, VA 23114
Phone: 804-794-2821    Fax: 804-794-4072
Arpita Gupta Depalma, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 11601 Robious Rd, Suite 100, Midlothian, VA 23113
Phone: 804-379-9494    
Dr. Linda A Burk, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 16213 Saville Chase Ln, Midlothian, VA 23112
Phone: 804-432-8817    
Dr. Gordon Neil Kellett Ii, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 13821 Village Mill Dr, Midlothian, VA 23114
Phone: 804-794-2821    Fax: 804-794-4072
Dr. Mark A Flanzenbaum, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5021 Craig Rath Blvd Bldg 4, Midlothian, VA 23112
Phone: 804-592-5437    Fax: 804-474-9071
Dr. Elizabeth Marie Cullen, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1407 Huguenot Rd, Midlothian, VA 23113
Phone: 804-794-2299    Fax: 804-794-5774
Isca Rochelle Wilms, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 13700 St Francis Blvd, Suite 501, Midlothian, VA 23114
Phone: 804-378-4420    Fax: 804-378-4440

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