Eileen Clark, AUD is a medicare enrolled "Audiologist" provider in Cornelius, North Carolina. Her current practice location is
19485 Old Jetton Rd Ste 202, Cornelius, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(980) 766-7036.
Eileen Clark is licensed to practice in * (Not Available) (license number ) 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 1346806528.
Healthcare Provider's Profile
Full Name | Eileen Clark |
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Gender | Female |
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Speciality | Audiologist |
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Location | 19485 Old Jetton Rd Ste 202, Cornelius, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346806528
- Provider Enumeration Date: 05/14/2019
- Last Update Date: 01/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163751330
- Enrollment ID: I20190912003624
Medical Identifiers
Medical identifiers for Eileen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346806528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | (* (Not Available)) | 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. Eileen Clark allows following entities to bill medicare on her behalf.
Provider Name | Levine Hearing Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1841670890 PECOS PAC ID: 3779970934 Enrollment ID: O20220419000401 |
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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. Eileen 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 Address | Practice Location Address |
Eileen Clark, AUD 19485 Old Jetton Rd Ste 202, Cornelius, NC 28031-6582 Ph: (980) 766-7036 | Eileen Clark, AUD 19485 Old Jetton Rd Ste 202, Cornelius, NC 28031-6582 Ph: (980) 766-7036 |
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