Dr Charlotte Ann Clark, MD in Winona, MN - Medicare Family Medicine

Dr Charlotte Ann Clark, MD is a medicare enrolled "Family Medicine" physician in Winona, Minnesota. Her current practice location is 730 E 2nd St, Apt. 3, Winona, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 454-0903.

Dr Charlotte Ann Clark is licensed to practice in Minnesota (license number 41455) 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 1386875128.

Contact Information

	Dr Charlotte Ann Clark, MD
	730 E 2nd St, Apt. 3, Winona, MN 55987-4400
	(507) 454-0903
	(507) 454-0600

Map and Direction

Physician's Profile

Full Name	Dr Charlotte Ann Clark
Gender	Female
Speciality	Family Medicine
Location	730 E 2nd St, Winona, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386875128
Provider Enumeration Date: 07/28/2009
Last Update Date: 07/28/2009

Medicare PECOS Information:

PECOS PAC ID: 7012208341
Enrollment ID: I20160616002015

Medical Identifiers

Medical identifiers for Dr Charlotte Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386875128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	41455 (Minnesota)	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 Charlotte Ann Clark allows following entities to bill medicare on her behalf.

Entity Name	Winona Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260

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 Charlotte Ann 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 Charlotte Ann Clark, MD 730 E 2nd St, Apt. 3, Winona, MN 55987-4400 Ph: (507) 454-0903	Dr Charlotte Ann Clark, MD 730 E 2nd St, Apt. 3, Winona, MN 55987-4400 Ph: (507) 454-0903

Reviews and Comments

Family Medicine Doctors in Winona, MN

Dr. Karen Doreen Vrchota, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1005 West 5th Street Integrative Healthcare Of Winona, Winona, MN 55987 Phone: 507-457-9000 Fax: 507-457-9001
Mary S Michener, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 859 Mankato Avenue, Winona Clinic Ltd, Winona, MN 55987 Phone: 507-454-3680 Fax: 507-457-7672
Everett Allen Beguin Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona Health Services, Winona, MN 55987 Phone: 507-454-3680 Fax: 507-457-7672
Dr. Jennifer Jean Forsyth, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3680
Jonathan Edward Knight, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1122 W Highway 61, Winona, MN 55987 Phone: 608-782-7300
Matthew R Thompson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1122 W Highway 61, Winona, MN 55987 Phone: 608-782-7300

Dr Charlotte Ann Clark, MD - Medicare Family Medicine in Winona, MN