Dr Amy Michelle Clark, MD in Lawrenceburg, IN

Dr Amy Michelle Clark, MD is a medicare enrolled "Pediatrics" physician in Lawrenceburg, Indiana. Her current practice location is 98 Elm St, Lawrenceburg, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 496-8777.

Dr Amy Michelle Clark is licensed to practice in Indiana (license number 01083310A) 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 1679001317.

Contact Information

	Dr Amy Michelle Clark, MD
	98 Elm St, Lawrenceburg, IN 47025-2048
	(812) 496-8777
	(812) 537-9974

Map and Direction

Physician's Profile

Full Name	Dr Amy Michelle Clark
Gender	Female
Speciality	Pediatrics
Location	98 Elm St, Lawrenceburg, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679001317
Provider Enumeration Date: 05/25/2017
Last Update Date: 07/29/2024

Medicare PECOS Information:

PECOS PAC ID: 9133495856
Enrollment ID: I20200710001563

Medical Identifiers

Medical identifiers for Dr Amy Michelle Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679001317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	LL40969 (South Carolina)	Secondary
208000000X	Pediatrics	01083310A (Indiana)	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. Dr Amy Michelle Clark allows following entities to bill medicare on her behalf.

Entity Name	Summit Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20040403000151

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. Dr Amy Michelle 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
Dr Amy Michelle Clark, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (812) 496-8777	Dr Amy Michelle Clark, MD 98 Elm St, Lawrenceburg, IN 47025-2048 Ph: (812) 496-8777

Reviews and Comments

Pediatrics Doctors in Lawrenceburg, IN

Veronica Reyes Jensen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2018 Jamison Dr, Lawrenceburg, IN 47025 Phone: 812-496-8772 Fax: 812-656-8084
Leslie H Glick, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 606 Wilson Creek Rd, Lawrenceburg, IN 47025 Phone: 812-496-8780 Fax: 812-537-5826
Carey Compton Bertsch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 98 Elm St, Lawrenceburg, IN 47025 Phone: 812-496-8777 Fax: 812-537-9974
Courtney R Canos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 132 Industrial Drive, Lawrenceburg, IN 47025 Phone: 812-537-5759 Fax: 812-537-9974

Dr Amy Michelle Clark, MD - Medicare Pediatrics in Lawrenceburg, IN