Heather Clark, PA-C is a medicare enrolled "Physician Assistant" physician in Damascus, Maryland. Her current practice location is
9815 Main St Ste 208, Damascus, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 253-4004.
Heather Clark is licensed to practice in Maryland (license number C0005635) 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 1972900520.
Physician's Profile
Full Name | Heather Clark |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 9815 Main St Ste 208, Damascus, 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: 1972900520
- Provider Enumeration Date: 11/25/2014
- Last Update Date: 07/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 1658697354
- Enrollment ID: I20150223001554
Medical Identifiers
Medical identifiers for Heather Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972900520 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | C0005635 (Maryland) | Secondary |
363A00000X | Physician Assistant | C0005635 (Maryland) | 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. Heather 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 |
Heather Clark, PA-C 9815 Main St Ste 208, Damascus, MD 20872-2099 Ph: (301) 253-4004 | Heather Clark, PA-C 9815 Main St Ste 208, Damascus, MD 20872 Ph: (301) 253-4004 |
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