Dr Jessica Lynn Clark, MD is a medicare enrolled "Dermatology" physician in Panama City Beach, Florida. She went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Andrew D Mcallister Do Pa and her current practice location is
12139 Panama City Beach Pkwy, Panama City Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 654-3376.
Dr Jessica Lynn Clark is licensed to practice in Florida (license number ME127249) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740449719.
Physician's Profile
Full Name | Dr Jessica Lynn Clark |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 16 Years |
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Location | 12139 Panama City Beach Pkwy, Panama City Beach, Florida |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jessica Lynn Clark attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2008
NPI Data:
- NPI Number: 1740449719
- Provider Enumeration Date: 06/05/2008
- Last Update Date: 05/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 3678798329
- Enrollment ID: I20160614001755
Medical Identifiers
Medical identifiers for Dr Jessica Lynn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740449719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | N3566 (Texas) | Secondary |
207N00000X | Dermatology | ME127249 (Florida) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Andrew D Mcallister Do Pa | 7810140084 | 2 |
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 Jessica Lynn Clark allows following entities to bill medicare on her behalf.
Entity Name | Coastal Skin Surgery And Dermatology, Pl |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114238193 PECOS PAC ID: 3173715869 Enrollment ID: O20101013000909 |
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Entity Name | Andrew D Mcallister Do Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720346760 PECOS PAC ID: 7810140084 Enrollment ID: O20130122000199 |
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Entity Name | Jessica L Clark Md Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184342578 PECOS PAC ID: 8426410424 Enrollment ID: O20230808001390 |
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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 Jessica Lynn 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 Jessica Lynn Clark, MD 12469 Emerald Coast Pkwy W, Miramar Beach, FL 32550-8305 Ph: (850) 654-3376 | Dr Jessica Lynn Clark, MD 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 Ph: (850) 654-3376 |
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