Prof Jackie Leah Clark, PHD is a medicare enrolled "Audiologist" provider in Tool, Texas. Her current practice location is
601 S Tool Dr, Tool, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 432-1932.
Prof Jackie Leah Clark is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417951484.
Healthcare Provider's Profile
Full Name | Prof Jackie Leah Clark |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 601 S Tool Dr, Tool, Texas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Prof Jackie Leah Clark attended and graduated from in
NPI Data:
- NPI Number: 1417951484
- Provider Enumeration Date: 06/08/2005
- Last Update Date: 10/28/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Prof Jackie Leah Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417951484 | NPI | - | NPPES |
66993 | Other | TX | CSHCN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | (* (Not Available)) | 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. Prof Jackie Leah 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 |
Prof Jackie Leah Clark, PHD 5038 Creekwood Dr, Flower Mound, TX 75028-1913 Ph: (972) 539-8558 | Prof Jackie Leah Clark, PHD 601 S Tool Dr, Tool, TX 75143-1959 Ph: (903) 432-1932 |
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