Caitlin M Clark, in Columbus, OH - Medicare Dentist Provider

Caitlin M Clark, is a medicare enrolled "Dentist - General Practice" provider in Columbus, Ohio. Her current practice location is 3974 Karl Rd, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 267-5000.

Caitlin M Clark is licensed to practice in Ohio (license number 30.026171) 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 1770107567.

Contact Information

	Caitlin M Clark,
	3974 Karl Rd, Columbus, OH 43224-5221
	(614) 267-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Caitlin M Clark
Gender	Female
Speciality	Dentist - General Practice
Location	3974 Karl Rd, Columbus, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770107567
Provider Enumeration Date: 06/08/2020
Last Update Date: 11/26/2021

Medicare PECOS Information:

PECOS PAC ID: 9638543481
Enrollment ID: I20230320000621

Medical Identifiers

Medical identifiers for Caitlin M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770107567	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	30.026171 (Ohio)	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. Caitlin M Clark allows following entities to bill medicare on her behalf.

Entity Name	Equitas Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518227453 PECOS PAC ID: 2769638154 Enrollment ID: O20120830000276

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. Caitlin 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 Address	Practice Location Address
Caitlin M Clark, 1250 Flagstone Sq, Westerville, OH 43081-4574 Ph: (419) 234-8424	Caitlin M Clark, 3974 Karl Rd, Columbus, OH 43224-5221 Ph: (614) 267-5000

Reviews and Comments

Dentist in Columbus, OH

Timothy C Hall, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3600 Olentangy River Rd, Suite 500a, Columbus, OH 43214 Phone: 614-451-5201 Fax: 614-451-0160
Shadonna Danielle Coleman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4655 Morse Centre Rd, Columbus, OH 43229 Phone: 614-470-9840
Dr. Katherine Mudd, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 17 N Harding Rd, Columbus, OH 43209 Phone: 614-239-0051
Dr. Connor Colvin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2607 E Main St, Columbus, OH 43209 Phone: 614-237-3781
Travis Daniel Pero, Dentist Medicare: Not Enrolled in Medicare Practice Location: 182 Parkwood Ave, Columbus, OH 43203 Phone: 330-714-7616
Harold Lloyd Voss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 Old Henderson Rd, Columbus, OH 43220 Phone: 614-262-2400 Fax: 614-545-2180
Dr. Sarah Zarick, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1151 Bethel Rd, Suite 203, Columbus, OH 43220 Phone: 614-451-0341

Caitlin M Clark, - Medicare Dentist in Columbus, OH