Nathaniel Clark, PA is a medicare enrolled "Physician Assistant" physician in Carbondale, Illinois. His current practice location is
409 W Oak St, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 529-4455.
Nathaniel Clark is licensed to practice in Illinois (license number 085003278) 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 1063660074.
Physician's Profile
| Full Name | Nathaniel Clark |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 409 W Oak St, Carbondale, Illinois |
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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:
- Nathaniel Clark attended and graduated from in
NPI Data:
- NPI Number: 1063660074
- Provider Enumeration Date: 09/03/2008
- Last Update Date: 12/21/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Nathaniel Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063660074 | NPI | - | NPPES |
| P00657126 | Other | IL | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | 085-003278 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085003278 (Illinois) | 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. Nathaniel 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 |
|---|
Nathaniel Clark, PA
409 W Oak St,
Carbondale, IL 62901-1464
Ph: (618) 529-4555 | Nathaniel Clark, PA
409 W Oak St,
Carbondale, IL 62901-1464
Ph: (618) 529-4455 |
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