Dr Jennifer M Clark, DC - Medicare Chiropractor in Peoria, IL

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Dr Jennifer M Clark, DC is a medicare enrolled "Chiropractor" provider in Peoria, Illinois. Her current practice location is 4900 N Glen Park Place Rd, Suite B, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 645-9665.

Dr Jennifer M Clark is licensed to practice in Illinois (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 1144389024.

Contact Information

Dr Jennifer M Clark, DC
4900 N Glen Park Place Rd, Suite B,
Peoria, IL 61614-4679
(309) 645-9665
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jennifer M Clark
GenderFemale
SpecialityChiropractor
Location4900 N Glen Park Place Rd, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144389024
  • Provider Enumeration Date: 12/07/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5597869875
  • Enrollment ID: I20070326000401

Medical Identifiers

Medical identifiers for Dr Jennifer M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144389024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (Illinois)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 Jennifer M Clark allows following entities to bill medicare on her behalf.
Provider NameClark Chiropractic Center, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1215090337
PECOS PAC ID: 6305940685
Enrollment ID: O20070326000413

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 Jennifer M 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 AddressPractice Location Address
Dr Jennifer M Clark, DC
1006 W Centennial Dr,
Peoria, IL 61614-2828

Ph: (309) 692-9228		Dr Jennifer M Clark, DC
4900 N Glen Park Place Rd, Suite B,
Peoria, IL 61614-4679

Ph: (309) 645-9665

Reviews and Comments


Chiropractor in Peoria, IL

T Chiropractic, Llc
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Phone: 309-691-9767    Fax: 309-691-9457
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Practice Location: 901 W Glen Ave, Suite A, Peoria, IL 61614
Phone: 309-693-1212    Fax: 309-693-2147
Dr. Robert Daniel Kelch,
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Practice Location: 7213 N Allen Rd, Peoria, IL 61614
Phone: 309-693-8448    

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Practice Location: 7501 N University St Ste 220, Peoria, IL 61614
Phone: 309-713-1791    Fax: 309-713-1791
Mccavitt Chiropractic Center, P.c.
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Phone: 309-688-2271    Fax: 309-688-0920
Shawn Durbin, DC
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Practice Location: 1200 W Loucks Ave, Peoria, IL 61604
Phone: 309-688-4484    Fax: 309-688-4485
Dr. Matthew Ryan Howard, D.C.
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Medicare: Accepting Medicare Assignments
Practice Location: 5901 N Prospect Rd, Suite 101, Peoria, IL 61614
Phone: 309-691-9355    Fax: 309-691-9357

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.