Dr Stacey Ann Clark, DC is a medicare enrolled "Chiropractor" provider in Lyndonville, Vermont. She went to Palmer College Chiropractic - Davenport and graduated in 2004 and has 20 years of diverse experience with area of expertise as Chiropractic. She is a member of the group practice Lyndonville Family Chiropractic, Inc. and her current practice location is
11 Hill St, Lyndonville, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 626-5866.
Dr Stacey Ann Clark is licensed to practice in Vermont (license number 006-0001158) 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 1699891580.
Healthcare Provider's Profile
| Full Name | Dr Stacey Ann Clark |
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| Gender | Female |
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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. She 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 Stacey Ann Clark attended and graduated from Palmer College Chiropractic - Davenport in 2004
NPI Data:
- NPI Number: 1699891580
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4183688815
- Enrollment ID: I20121204000007
Medical Identifiers
Medical identifiers for Dr Stacey Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699891580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 006-0001158 (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 Stacey Ann Clark allows following entities to bill medicare on her 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 Stacey Ann 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 |
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Dr Stacey Ann Clark, DC
256 East St,
Lyndonville, VT 05851-8628
Ph: (802) 626-4218 | Dr Stacey Ann Clark, DC
11 Hill St,
Lyndonville, VT 05851-8911
Ph: (802) 626-5866 |
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