Caitlin Clark, MD is a medicare enrolled "Hospitalist" physician in Tupelo, Mississippi. She went to University Of Texas Medical School At Houston and graduated in 2015 and has 10 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice North Mississippi Medical Center Inc and her current practice location is
830 S Gloster St, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 377-3275.
Caitlin Clark is licensed to practice in Mississippi (license number 29220) 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 1750776290.
Physician's Profile
Full Name | Caitlin Clark |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 10 Years |
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Location | 830 S Gloster St, Tupelo, Mississippi |
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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:
- Caitlin Clark attended and graduated from University Of Texas Medical School At Houston in 2015
NPI Data:
- NPI Number: 1750776290
- Provider Enumeration Date: 04/01/2015
- Last Update Date: 09/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284937095
- Enrollment ID: I20210917000182
Medical Identifiers
Medical identifiers for Caitlin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750776290 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 29220 (Mississippi) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
North Mississippi Medical Center Inc | 9931010600 | 285 |
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 Clark allows following entities to bill medicare on her behalf.
Entity Name | North Mississippi Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541 |
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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 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 Clark, MD 4631 Cedar Garden Ln, Belden, MS 38826-8201 Ph: (901) 484-8808 | Caitlin Clark, MD 830 S Gloster St, Tupelo, MS 38801-4996 Ph: (662) 377-3275 |
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