Dr Deirdre V Clark, DC, ND, CHT, CCRA in Charlotte, NC

Dr Deirdre V Clark, DC, ND, CHT, CCRA is a medicare enrolled "Chiropractor" provider in Charlotte, North Carolina. She went to Sherman College Of Straight Chiropractic and graduated in 2000 and has 24 years of diverse experience with area of expertise as Chiropractic. Her current practice location is 10926 David Taylor Dr Ste 120, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 266-3250.

Dr Deirdre V Clark is licensed to practice in North Carolina (license number 5172) 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 1053615989.

Contact Information

	Dr Deirdre V Clark, DC, ND, CHT, CCRA
	10926 David Taylor Dr Ste 120, Charlotte, NC 28262-1042
	(704) 266-3250
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Deirdre V Clark
Gender	Female
Speciality	Chiropractic
Experience	24 Years
Location	10926 David Taylor Dr Ste 120, Charlotte, North Carolina
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:

Dr Deirdre V Clark attended and graduated from Sherman College Of Straight Chiropractic in 2000

NPI Data:

NPI Number: 1053615989
Provider Enumeration Date: 01/06/2011
Last Update Date: 08/27/2020

Medicare PECOS Information:

PECOS PAC ID: 6002885605
Enrollment ID: I20200910003245

Medical Identifiers

Medical identifiers for Dr Deirdre V Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053615989	NPI	-	NPPES
5172	Other	NC	CHIROPRACTIC LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111NI0013X	Chiropractor - Independent Medical Examiner	5172 (North Carolina)	Secondary
111NI0013X	Chiropractor - Independent Medical Examiner	5171 (North Carolina)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
1744R1102X	Specialist - Research Study	(* (Not Available))	Secondary
175F00000X	Naturopath	(* (Not Available))	Secondary
111N00000X	Chiropractor	5172 (North Carolina)	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. Dr Deirdre V Clark allows following entities to bill medicare on her behalf.

Provider Name	Clark Clinical Consulting Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932713401 PECOS PAC ID: 3971921701 Enrollment ID: O20200910003161

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 Deirdre V 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
Dr Deirdre V Clark, DC, ND, CHT, CCRA 10926 David Taylor Dr Ste 120, Charlotte, NC 28262-0039 Ph: (704) 266-3250	Dr Deirdre V Clark, DC, ND, CHT, CCRA 10926 David Taylor Dr Ste 120, Charlotte, NC 28262-1042 Ph: (704) 266-3250

Reviews and Comments

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Dr Deirdre V Clark, DC, ND, CHT, CCRA - Medicare Chiropractor in Charlotte, NC