Ashley Lucas Clark, MD in Simpsonville, SC

Ashley Lucas Clark, MD is a medicare enrolled "Pediatrics" physician in Simpsonville, South Carolina. Her current practice location is 727 Se Main St, Suite 100, Simpsonville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 454-6520.

Ashley Lucas Clark is licensed to practice in South Carolina (license number 21043) 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 1730115676.

Contact Information

	Ashley Lucas Clark, MD
	727 Se Main St, Suite 100, Simpsonville, SC 29681-3247
	(864) 454-6520
	(864) 454-6525

Map and Direction

Physician's Profile

Full Name	Ashley Lucas Clark
Gender	Female
Speciality	Pediatrics
Location	727 Se Main St, Simpsonville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730115676
Provider Enumeration Date: 06/23/2006
Last Update Date: 05/17/2016

Medicare PECOS Information:

PECOS PAC ID: 9931298536
Enrollment ID: I20071205000066

Medical Identifiers

Medical identifiers for Ashley Lucas Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730115676	NPI	-	NPPES
57-1004971003	Other	SC	BCBS OF SC
7742353	Other	SC	AETNA
210435	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	21043 (South Carolina)	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. Ashley Lucas Clark allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

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. Ashley Lucas 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
Ashley Lucas Clark, MD 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044	Ashley Lucas Clark, MD 727 Se Main St, Suite 100, Simpsonville, SC 29681-3247 Ph: (864) 454-6520

Reviews and Comments

Pediatrics Doctors in Simpsonville, SC

Lindsey Brianne Mcamis Gouge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 312 Harrison Bridge Rd, Simpsonville, SC 29680 Phone: 864-272-0388 Fax: 864-213-9237
Dr. Ashleigh Brooke Gardner, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 211 Batesville Rd, Simpsonville, SC 29681 Phone: 864-272-0388 Fax: 864-213-9237
Dr. Emily Elizabeth Phillips, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 211 Batesville Rd, Simpsonville, SC 29681 Phone: 864-272-0388
Heather Alexis Moreira, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 727 Se Main St, Suite 300, Simpsonville, SC 29681 Phone: 864-454-6440 Fax: 864-454-6445
Dr. Laura Anne Johnson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 727 Se Main St Ste 320, Simpsonville, SC 29681 Phone: 864-454-6440
Daniel Hughes, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Hatcher Creek St., Simpsonville, SC 29680 Phone: 864-272-0388
Todd A Roemmich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 312 Harrison Bridge Rd, Simpsonville, SC 29680 Phone: 864-272-0388 Fax: 864-213-9237

Ashley Lucas Clark, MD - Medicare Pediatrics in Simpsonville, SC