Sierra Clark, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dayton, Ohio. Her current practice location is
128 E Apple St Ste 3800, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 208-2997.
Sierra Clark is licensed to practice in Ohio (license number ) 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 1821672460.
Physician's Profile
| Full Name | Sierra Clark |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 128 E Apple St Ste 3800, Dayton, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821672460
- Provider Enumeration Date: 05/10/2021
- Last Update Date: 05/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 5193125045
- Enrollment ID: I20210614003220
Medical Identifiers
Medical identifiers for Sierra Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821672460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | APP-000462558 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Ohio) | 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. Sierra 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 |
|---|
Sierra Clark,
128 E Apple St Ste 3800,
Dayton, OH 45409-2902
Ph: (937) 208-2997 | Sierra Clark,
128 E Apple St Ste 3800,
Dayton, OH 45409-2902
Ph: (937) 208-2997 |
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