Mrs Theresa S Clark, MSRD,CDE, LD in Hopkinsville, KY - Medicare Registered Dietitian Or Nutrition Professional Provider

Mrs Theresa S Clark, MSRD,CDE, LD is a medicare enrolled "Dietitian, Registered" provider in Hopkinsville, Kentucky. She graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is 530 Noel Ave, Hopkinsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 707-0060.

Mrs Theresa S Clark is licensed to practice in Kentucky (license number KY-0517) 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 1013120948.

Contact Information

	Mrs Theresa S Clark, MSRD,CDE, LD
	530 Noel Ave, Hopkinsville, KY 42240-1386
	(270) 707-0060
	(270) 707-0068

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Theresa S Clark
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	37 Years
Location	530 Noel Ave, Hopkinsville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Theresa S Clark graduated from medical school in 1987

NPI Data:

NPI Number: 1013120948
Provider Enumeration Date: 05/07/2007
Last Update Date: 08/05/2016

Medicare PECOS Information:

PECOS PAC ID: 3678754892
Enrollment ID: I20110222000341

Medical Identifiers

Medical identifiers for Mrs Theresa S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013120948	NPI	-	NPPES
38364492	Other	KY	TAX ID NO.
KY-0517	Other	KY	LICENSE DIETITIAN
9000505900	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	KY-0517 (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. Mrs Theresa S 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
Mrs Theresa S Clark, MSRD,CDE, LD 530 Noel Ave, Hopkinsville, KY 42240-1386 Ph: (270) 707-0060	Mrs Theresa S Clark, MSRD,CDE, LD 530 Noel Ave, Hopkinsville, KY 42240-1386 Ph: (270) 707-0060

Reviews and Comments

Dietitian, Registered in Hopkinsville, KY

Emily Colthart, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1700 Canton St, Hopkinsville, KY 42240 Phone: 270-887-4160 Fax: 270-886-6192
Mrs. Kimberly Gail Cloyd, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 210a Burley Avenue, Hopkinsville, KY 42240 Phone: 270-889-0282 Fax: 270-887-8340
Christian County Health Dept Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1700 Canton St, Po Bx 647, Hopkinsville, KY 42240 Phone: 270-887-4160 Fax: 270-887-4165
Diabetes Resource Center Of Hopkinsville Dietitian Medicare: Not Enrolled in Medicare Practice Location: 530 Noel Ave, Hopkinsville, KY 42240 Phone: 270-707-0060 Fax: 270-707-0068
Diabetes Resource Center Of Hopkinsville Dietitian Medicare: Not Enrolled in Medicare Practice Location: 530 Noel Ave, Hopkinsville, KY 42240 Phone: 270-707-0060 Fax: 270-707-0068
Linsey Ramage, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1700 Canton St, Hopkinsville, KY 42240 Phone: 270-887-4160 Fax: 270-886-6192

Mrs Theresa S Clark, MSRD,CDE, LD - Medicare Dietitian in Hopkinsville, KY