Justin Philip Clack, PA is a medicare enrolled "Physician Assistant" physician in Athens, Georgia. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Piedmont Athens Specialty Care Llc, The Emory Clinic, Inc and his current practice location is
242 King Ave Ste 130, Athens, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 613-5880.
Justin Philip Clack is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750634754.
Physician's Profile
| Full Name | Justin Philip Clack |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 12 Years |
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| Location | 242 King Ave Ste 130, Athens, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Justin Philip Clack graduated from medical school in 2012
NPI Data:
- NPI Number: 1750634754
- Provider Enumeration Date: 10/16/2012
- Last Update Date: 03/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597918300
- Enrollment ID: I20130103000251
Medical Identifiers
Medical identifiers for Justin Philip Clack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750634754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RP1001X | Internal Medicine - Pulmonary Disease | 6639 (Georgia) | Secondary |
| 207X00000X | Orthopaedic Surgery | 6639 (Georgia) | Secondary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 6639 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Piedmont Athens Specialty Care Llc | 8820349772 | 102 |
| The Emory Clinic, Inc | 8820901408 | 2729 |
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. Justin Philip Clack 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 |
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Justin Philip Clack, PA
550 Peachtree Street, Davis Fischer Building Office 330,
Atlanta, GA 30308
Ph: () - | Justin Philip Clack, PA
242 King Ave Ste 130,
Athens, GA 30606
Ph: (706) 613-5880 |
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