JEFFREY CLARKE PA NPI 1013139096

Physician Assistant in Whiteville, NC

NPI 1013139096 Individual Male Years of Experience 30 Physician Assistant PECOS Enrolled Accepts Medicare Approved Payment

About JEFFREY CLARKE

Jeffrey Clarke is a primary care provider established in Whiteville, North Carolina and his medical specialization is physician assistant with more than 30 years of experience. The NPI number of Jeffrey Clarke is 1013139096 and was assigned on May 2007. The practitioner's primary taxonomy code is 363A00000X with license number 101710 (NC). The provider is registered as an individual and his NPI record was last updated September 2021.

A primary care provider (PCP) like Jeffrey Clarke Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Jeffrey Clarke is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Jeffrey Clarke is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Columbus Regional Healthcare System and Southeastern Regional Medical Center.

NPI

1013139096

Provider Name JEFFREY CLARKE PA
Provider Location Address619 JEFFERSON ST WHITEVILLE, NC 28472
Provider Mailing AddressPO BOX 19305 CHARLOTTE, NC 28219
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1992
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-02-2007
Last Update Date09-09-2021


Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.101710
License StateNC
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

JEFFREY CLARKE PA
619 JEFFERSON ST
WHITEVILLE, NC
ZIP 28472
Phone: (910) 642-0331

Get Directions


Mailing Address

JEFFREY CLARKE PA
PO BOX 19305
CHARLOTTE, NC
ZIP 28219
Phone:



Secondary Locations

500 Jefferson St
Whiteville, NC 28472
(910) 642-1776
14508 James B White Hwy S
Tabor City, NC 28463
(910) 653-7000

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5890734180
PECOS Enrollment IDI20050426001348
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 838Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • 483Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 447Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 194Administration of influenza virus vaccine (HCPCS:G0008)
  • 115Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 35Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 31Administration of pneumococcal vaccine (HCPCS:G0009)
  • 27Pneumococcal vaccine for injection into muscle (HCPCS:90670)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeffrey Clarke is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
COLUMBUS REGIONAL HEALTHCARE SYSTEM500 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-8011Acute Care Hospitals340068
SOUTHEASTERN REGIONAL MEDICAL CENTER300 W 27 ST PO BOX 1408
LUMBERTON, NC 28359
(910) 671-5000Acute Care Hospitals340050

Other Providers at the same location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770561102DR. CYTHIA MOSELEY KIRBY
Individual
Family Medicine619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 914-0370
1366549529SOUTHEAST MEDICAL LABORATORY LLC
Organization
Clinical Medical Laboratory619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-3697
1407187057RICHARD C. FLEMING, M.D., P.A.
Organization
Internal Medicine619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-8157
1407188212JOHN F MUNROE MD, PA
Organization
Internal Medicine619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-2230
1316279128JOHN D HODGSON MD, PA
Organization
Internal Medicine619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-0331
1992010094WACCAMAW PRIMARY CARE INC
Organization
Physician Assistant (Medical)619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-2230
1942474507CHRISTY T PERDUE MD PA
Organization
Family Medicine619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 914-0370
1568450682DR. JOHN DAVID HODGSON MD
Individual
Internal Medicine619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-0331
1073573770 PEGGY NEWMAN FNP
Individual
Nurse Practitioner619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-0331
1790713501 DEBORAH DUCHESNEAU FNP
Individual
Nurse Practitioner619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-0331
1679060784 SHANNON GODWIN FNP
Individual
Nurse Practitioner619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-0331
1457336174WACCAMAW ULTRASOUND & DIAGNOSTICS, INC.
Organization
Physiological Laboratory619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-9085
1750390506 JUAN EUGENIO TODD M GONZALEZ MD
Individual
Internal Medicine619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-0331
1841354560 JACQUELINE O'KANE FNP
Individual
Nurse Practitioner619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-0331
1639229479 CHRISTY PERDUE MD
Individual
Family Medicine619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-0331
1073502936 MARIE CAMPBELL FNP
Individual
Nurse Practitioner619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-0331
1639131022 DAVID MARTIN JR. MD
Individual
Internal Medicine619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-0331
1518263268COLUMBUS REGIONAL HEALTH NETWORK
Organization
Family Medicine619 JEFFERSON ST
WHITEVILLE, NC 28472
(910) 642-0331

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.