Daniel Clark, DPT is a medicare enrolled "Physical Therapist" physician in Jamesville, New York. His current practice location is
1301 Nottingham Rd, Jamesville, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 445-9242.
Daniel Clark is licensed to practice in Virginia (license number 2305215645) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073257887.
Physician's Profile
| Full Name | Daniel Clark |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 1301 Nottingham Rd, Jamesville, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073257887
- Provider Enumeration Date: 04/27/2022
- Last Update Date: 05/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022497585
- Enrollment ID: I20220614001821
Medical Identifiers
Medical identifiers for Daniel Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073257887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 047002 (New York) | Secondary |
| 225100000X | Physical Therapist | 2305215645 (Virginia) | 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. Daniel Clark allows following entities to bill medicare on his behalf.
| Entity Name | Select Pt, Ot & Slp Rehabilitation Ny, Pllc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1457026353
PECOS PAC ID: 3870986656
Enrollment ID: O20220201000412 |
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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. Daniel 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 |
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Daniel Clark, DPT
4795 Glencrest Ave,
Liverpool, NY 13088-4117
Ph: (131) 540-6304 | Daniel Clark, DPT
1301 Nottingham Rd,
Jamesville, NY 13078-8705
Ph: (315) 445-9242 |
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