Rebecca Leann Clark, is a
Dentist based in Elizaetthtown, Kentucky. Rebecca Leann Clark is licensed to practice in Kentucky (license number 10811) and her current practice location is
2030 N Dixie Hwy, Elizaetthtown, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 763-0200.
NPI number for Rebecca Leann Clark is 1801528336 and her current mailing address is 7865b Estrada Ave, Fort Knox, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801528336.
Healthcare Provider's Profile
Full Name | Rebecca Leann Clark |
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Gender | Female |
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Speciality | Dentist |
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Location | 2030 N Dixie Hwy, Elizaetthtown, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801528336
- Provider Enumeration Date: 06/24/2022
- Last Update Date: 06/24/2022
Medical Identifiers
Medical identifiers for Rebecca Leann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801528336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 10811 (Kentucky) | Primary |
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. Rebecca Leann Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Rebecca Leann Clark, 7865b Estrada Ave, Fort Knox, KY 40121-2321 Ph: (972) 765-5186 | Rebecca Leann Clark, 2030 N Dixie Hwy, Elizaetthtown, KY 42701 Ph: (270) 763-0200 |
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