Dr Kristie M Clark, MD - Medicare Pediatrics in Junction City, KS

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Dr Kristie M Clark, MD is a medicare enrolled "Pediatrics" physician in Junction City, Kansas. Her current practice location is 715 Southwind Dr, Junction City, Kansas. You can reach out to her office (for appointments etc.) via phone at (785) 209-3779.

Dr Kristie M Clark is licensed to practice in Kansas (license number 04-34215) 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 1558473884.

Contact Information

Dr Kristie M Clark, MD
715 Southwind Dr,
Junction City, KS 66441-9021
(785) 209-3779
(785) 209-3780

Map and Direction




Physician's Profile

Full NameDr Kristie M Clark
GenderFemale
SpecialityPediatrics
Location715 Southwind Dr, Junction City, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558473884
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 02/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5698776920
  • Enrollment ID: I20230825002670

Medical Identifiers

Medical identifiers for Dr Kristie M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558473884NPI-NPPES
30004570650001MedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 04-34215 (Kansas)Primary
208000000XPediatrics L6831 (Texas)Secondary

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 Kristie M Clark allows following entities to bill medicare on her behalf.
Entity NameVictory Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104540079
PECOS PAC ID: 8729459607
Enrollment ID: O20230201001812

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 Kristie M 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 Kristie M Clark, MD
715 Southwind Dr,
Junction City, KS 66441-9021

Ph: (785) 209-3779		Dr Kristie M Clark, MD
715 Southwind Dr,
Junction City, KS 66441-9021

Ph: (785) 209-3779

Reviews and Comments


Pediatrics Doctors in Junction City, KS

Rahel Getachew, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1106 Saint Marys Rd, Suite 309, Junction City, KS 66441
Phone: 785-762-3388    Fax: 785-210-3432
Dr. Adikuor Ohenewa Adjetey, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1102 Saint Marys Rd, Junction City, KS 66441
Phone: 785-238-4131    
Tessa Vanessa Bandhan Visser, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1110 Saint Marys Rd, Junction City, KS 66441
Phone: 785-762-2585    

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).

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