Dr Karson Ellsworth Clark Jr, DC is a medicare enrolled "Chiropractor" provider in Lyndonville, Vermont. He went to Palmer College Chiropractic - West Sunnyvale and graduated in 2004 and has 20 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Lyndonville Family Chiropractic, Inc. and his current practice location is
11 Hill St, Lyndonville, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 626-5866.
Dr Karson Ellsworth Clark Jr is licensed to practice in Vermont (license number 006-0001143) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942326822.
Healthcare Provider's Profile
| Full Name | Dr Karson Ellsworth Clark Jr |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 20 Years |
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| Location | 11 Hill St, Lyndonville, Vermont |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Karson Ellsworth Clark Jr attended and graduated from Palmer College Chiropractic - West Sunnyvale in 2004
NPI Data:
- NPI Number: 1942326822
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 01/26/2012
Medicare PECOS Information:
- PECOS PAC ID: 5698737252
- Enrollment ID: I20041027000568
Medical Identifiers
Medical identifiers for Dr Karson Ellsworth Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942326822 | NPI | - | NPPES |
| 75-3165676 | Other | VT | TAX IDENTIFICATION NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 006-0001143 (Vermont) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lyndonville Family Chiropractic, Inc. | 8224090881 | 3 |
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 Karson Ellsworth Clark Jr allows following entities to bill medicare on his behalf.
| Provider Name | Lyndonville Family Chiropractic, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326254657
PECOS PAC ID: 8224090881
Enrollment ID: O20041112000794 |
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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. Dr Karson Ellsworth Clark Jr 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 |
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Dr Karson Ellsworth Clark Jr, DC
11 Hill St,
Lyndonville, VT 05851-8911
Ph: (802) 626-5866 | Dr Karson Ellsworth Clark Jr, DC
11 Hill St,
Lyndonville, VT 05851-8911
Ph: (802) 626-5866 |
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