Kristen Clark, RD - Medicare Dietitian in Wyomissing, PA

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Kristen Clark, RD is a medicare enrolled "Dietitian, Registered" provider in Wyomissing, Pennsylvania. Her current practice location is 1220 Broadcasting Rd Ste 101, Wyomissing, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 371-8623.

Kristen Clark is licensed to practice in Pennsylvania (license number DN007640) 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 1194424820.

Contact Information

Kristen Clark, RD
1220 Broadcasting Rd Ste 101,
Wyomissing, PA 19610-3221
(610) 371-8623
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKristen Clark
GenderFemale
SpecialityDietitian, Registered
Location1220 Broadcasting Rd Ste 101, Wyomissing, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194424820
  • Provider Enumeration Date: 03/02/2023
  • Last Update Date: 03/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204200256
  • Enrollment ID: I20230315000663

Medical Identifiers

Medical identifiers for Kristen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194424820NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered DN007640 (Pennsylvania)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. Kristen Clark allows following entities to bill medicare on her behalf.
Provider NameReading Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1992387518
PECOS PAC ID: 7618886490
Enrollment ID: O20040408001076
Provider NamePhoenixville Clinic Company Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1891866182
PECOS PAC ID: 5799796850
Enrollment ID: O20060606000128

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. Kristen 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
Kristen Clark, RD
Po Box 13579,
Reading, PA 19612-3579

Ph: (484) 824-8157		Kristen Clark, RD
1220 Broadcasting Rd Ste 101,
Wyomissing, PA 19610-3221

Ph: (610) 371-8623

Reviews and Comments


Dietitian, Registered in Wyomissing, PA

Corinne Wernick, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1991 State Hill Rd, Wyomissing, PA 19610
Phone: 610-988-4270    Fax: 610-988-4261
Brittany Stoltzfus, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1991 State Hill Rd, Wyomissing, PA 19610
Phone: 484-628-4270    
Nicole D'ulisse, RD
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 1220 Broadcasting Rd Ste 101, Wyomissing, PA 19610
Phone: 484-628-5673    
Sarah Clair, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1991 State Hill Rd, Wyomissing, PA 19610
Phone: 484-628-4270    Fax: 484-628-4261
Connie Wyatt,
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 1991 State Hill Rd, Wyomissing, PA 19610
Phone: 484-628-4270    Fax: 484-628-4261
Megan R Gallagher, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1991 State Hill Rd, Wyomissing, PA 19610
Phone: 484-628-4270    

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.