Mrs Danielle Nicole Clark, DO is a medicare enrolled "Pediatrics" physician in Coshocton, Ohio. Her current practice location is
440 Browns Ln, Coshocton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 891-9000.
Mrs Danielle Nicole Clark is licensed to practice in Ohio (license number 012275) 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 1316263015.
Physician's Profile
Full Name | Mrs Danielle Nicole Clark |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 440 Browns Ln, Coshocton, Ohio |
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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: 1316263015
- Provider Enumeration Date: 04/20/2010
- Last Update Date: 11/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 5698905370
- Enrollment ID: I20220801002767
Medical Identifiers
Medical identifiers for Mrs Danielle Nicole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316263015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 012275 (Ohio) | 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. Mrs Danielle Nicole Clark allows following entities to bill medicare on her behalf.
Entity Name | Muskingum Valley Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205018348 PECOS PAC ID: 4789760216 Enrollment ID: O20080618000216 |
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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. Mrs Danielle Nicole 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 |
Mrs Danielle Nicole Clark, DO 723 Enclave Village Pl, Unit 2, Lewis Center, OH 43035-7540 Ph: (216) 570-8378 | Mrs Danielle Nicole Clark, DO 440 Browns Ln, Coshocton, OH 43812-2044 Ph: (740) 891-9000 |
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