Lauren Rachel Clark, PA-C is a medicare enrolled "Physician Assistant" physician in Dallas, Texas. Her current practice location is
2821 Routh St, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 296-0269.
Lauren Rachel Clark is licensed to practice in Texas (license number PA15281) 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 1629606736.
Physician's Profile
Full Name | Lauren Rachel Clark |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 2821 Routh St, Dallas, Texas |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629606736
- Provider Enumeration Date: 04/01/2020
- Last Update Date: 08/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810392172
- Enrollment ID: I20210824003607
Medical Identifiers
Medical identifiers for Lauren Rachel Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629606736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | PA15281 (Texas) | Secondary |
363A00000X | Physician Assistant | PA15281 (Texas) | 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. Lauren Rachel 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 |
Lauren Rachel Clark, PA-C 2030 Jamaica Way, Punta Gorda, FL 33950-5181 Ph: () - | Lauren Rachel Clark, PA-C 2821 Routh St, Dallas, TX 75201-1414 Ph: (214) 296-0269 |
Reviews and Comments