Adam Andrew Clark, is a
Student In An Organized Health Care Education/training Program based in Albuquerque, New Mexico. Adam Andrew Clark is licensed to practice in * (Not Available) (license number ) and his current practice location is
9311 Claremont Ave Ne, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 401-4521.
NPI number for Adam Andrew Clark is 1447986914 and his current mailing address is 9311 Claremont Ave Ne, Albuquerque, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447986914.
Provider's Profile
| Full Name | Adam Andrew Clark |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 9311 Claremont Ave Ne, Albuquerque, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447986914
- Provider Enumeration Date: 07/27/2022
- Last Update Date: 07/17/2024
Medical Identifiers
Medical identifiers for Adam Andrew Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447986914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA2024-0071 (New Mexico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Adam Andrew Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Adam Andrew Clark,
9311 Claremont Ave Ne,
Albuquerque, NM 87112-1260
Ph: (505) 401-4521 | Adam Andrew Clark,
9311 Claremont Ave Ne,
Albuquerque, NM 87112-1260
Ph: (505) 401-4521 |
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