Dr J Karen Clark, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Pineville, Kentucky. Her current practice location is
850 Riverview Rd, Pineville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 337-3051.
Dr J Karen Clark is licensed to practice in Kentucky (license number 23093) 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 1215944384.
Physician's Profile
Full Name | Dr J Karen Clark |
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Gender | Female |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 850 Riverview Rd, Pineville, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215944384
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345233649
- Enrollment ID: I20040823000308
Medical Identifiers
Medical identifiers for Dr J Karen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215944384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 23093 (Kentucky) | 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 J Karen Clark allows following entities to bill medicare on her behalf.
Entity Name | Lafourche Parish Hospital Service District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831260793 PECOS PAC ID: 2264342229 Enrollment ID: O20040604000183 |
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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. Dr J Karen 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 J Karen Clark, MD 850 Riverview Rd, Pineville, KY 40977-1430 Ph: (606) 337-3051 | Dr J Karen Clark, MD 850 Riverview Rd, Pineville, KY 40977-1430 Ph: (606) 337-3051 |
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