Dr Diane Marie Clark, DC in Port Orange, FL - Medicare Chiropractic Provider

Dr Diane Marie Clark, DC is a medicare enrolled "Chiropractor" provider in Port Orange, Florida. She graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Chiropractic. She is a member of the group practice Palmer College Foundation and her current practice location is 4705 S Clyde Morris Blvd, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 763-2728.

Dr Diane Marie Clark is licensed to practice in Florida (license number CH5971) 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 1306994637.

Contact Information

	Dr Diane Marie Clark, DC
	4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103
	(386) 763-2728
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Diane Marie Clark
Gender	Female
Speciality	Chiropractic
Experience	37 Years
Location	4705 S Clyde Morris Blvd, Port Orange, Florida
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 Diane Marie Clark graduated from medical school in 1987

NPI Data:

NPI Number: 1306994637
Provider Enumeration Date: 01/05/2007
Last Update Date: 12/19/2012

Medicare PECOS Information:

PECOS PAC ID: 1951334846
Enrollment ID: I20050912000986

Medical Identifiers

Medical identifiers for Dr Diane Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306994637	NPI	-	NPPES
22574	Other	FL	BCBS
P00706874	Other	FL	RAILROAD MEDICARE
001509400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	CH5971 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Palmer College Foundation	1557266863	42

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 Diane Marie Clark allows following entities to bill medicare on her behalf.

Provider Name	Palmer College Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568552255 PECOS PAC ID: 1557266863 Enrollment ID: O20050823000300

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 Diane Marie 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 Diane Marie Clark, DC 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 Ph: (386) 763-2728	Dr Diane Marie Clark, DC 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 Ph: (386) 763-2728

Reviews and Comments

Chiropractor in Port Orange, FL

Ms. Erica Elizabeth Adams, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4904 Clyde Morris Blvd Ste A, Port Orange, FL 32129 Phone: 386-307-8207
Dr. Carl Francesco Stephens, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4705 S Clyde Morris Blvd, Port Orange, FL 32129 Phone: 386-763-2768
Dr. Kyna Renee Sanchez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 803 Banbury Dr, Port Orange, FL 32129 Phone: 315-593-4655
Garrett Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1409 Royal Grove Ln, Port Orange, FL 32129 Phone: 386-795-8700
Dr. Jeffery Kyle Clifton, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1402 Dunlawton Ave Ste 4d, Port Orange, FL 32127 Phone: 386-760-6150 Fax: 386-788-1998
Dr. Rosemary Valero, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 429 Champagne Circle, Port Orange, FL 32127 Phone: 386-846-4695
Kiana Lewis Francois, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6335 S Williamson Blvd Apt 327, Port Orange, FL 32128 Phone: 910-372-2420

Dr Diane Marie Clark, DC - Medicare Chiropractor in Port Orange, FL