Elizabeth Ann Clark, CRNP is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Lutherville-timonium, Maryland. Her current practice location is
10803 Falls Rd, Pavillion Iii Suite 2100, Lutherville-timonium, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 997-5476.
Elizabeth Ann Clark is licensed to practice in Maryland (license number R256198) 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 1427560945.
Physician's Profile
Full Name | Elizabeth Ann Clark |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 10803 Falls Rd, Lutherville-timonium, Maryland |
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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: 1427560945
- Provider Enumeration Date: 10/25/2017
- Last Update Date: 12/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870857345
- Enrollment ID: I20221213002560
Medical Identifiers
Medical identifiers for Elizabeth Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427560945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | R256198 (Maryland) | 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. Elizabeth Ann Clark allows following entities to bill medicare on her behalf.
Entity Name | Johns Hopkins University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
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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. Elizabeth 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 |
Elizabeth Ann Clark, CRNP 7023 Deerfield Rd, Pikesville, MD 21208-6008 Ph: (330) 319-1536 | Elizabeth Ann Clark, CRNP 10803 Falls Rd, Pavillion Iii Suite 2100, Lutherville-timonium, MD 21093 Ph: (443) 997-5476 |
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