Dr Desra Kay Clark, DO - Medicare Family Medicine in Cocoa, FL

Dr Desra Kay Clark, DO is a medicare enrolled "Family Medicine - Adult Medicine" physician in Cocoa, Florida. Her current practice location is 7227 N Us Highway 1, Cocoa, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 877-2740.

Dr Desra Kay Clark is licensed to practice in Florida (license number OS12364) 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 1477816601.

Contact Information

Dr Desra Kay Clark, DO
7227 N Us Highway 1,
Cocoa, FL 32927-5020
(321) 877-2740
(321) 877-2793

Map and Direction




Physician's Profile

Full NameDr Desra Kay Clark
GenderFemale
SpecialityFamily Medicine - Adult Medicine
Location7227 N Us Highway 1, Cocoa, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477816601
  • Provider Enumeration Date: 06/22/2012
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547551590
  • Enrollment ID: I20170511002884

Medical Identifiers

Medical identifiers for Dr Desra Kay Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477816601NPI-NPPES
019789000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine OS12364 (Florida)Primary

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 Desra Kay 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 AddressPractice Location Address
Dr Desra Kay Clark, DO
Po Box 1137,
Melbourne, FL 32902-1137

Ph: (321) 952-9696
Dr Desra Kay Clark, DO
7227 N Us Highway 1,
Cocoa, FL 32927-5020

Ph: (321) 877-2740

Reviews and Comments


Family Medicine Doctors in Cocoa, FL

Dr. Rumyana Georgieva Atanasova, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 705 Blake Ave, Bldg G, Cocoa, FL 32922
Phone: 321-633-6391    Fax: 321-633-6441
Ronald V Trout, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7227 N Us Highway 1, Cocoa, FL 32927
Phone: 321-241-6800    Fax: 321-241-6890
Ketsia Celestin Louis, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5005 Port St John Pkwy, Cocoa, FL 32927
Phone: 321-504-0556    Fax: 321-267-2713
Dr. Mark K Pinkowski, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1317 W Point Dr, Cocoa, FL 32922
Phone: 321-636-2621    Fax: 321-631-9436
Alessandro L Acosta-fajardo, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1317 W Point Dr, Cocoa, FL 32922
Phone: 321-636-2621    Fax: 321-631-9436
Branko Dusan Pejic, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6305 Pleasant Ave, Cocoa, FL 32927
Phone: 321-638-4199    Fax: 321-631-7572

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.