Annie Elizabeth Clark, PA is a
Physician Assistant based in Owens Cross Roads, Alabama. Annie Elizabeth Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
6602 Hampton Bend Cir Se, Owens Cross Roads, Alabama. She can be reached at her office (for appointments etc.) via phone at
(256) 603-9685.
NPI number for Annie Elizabeth Clark is 1114760204 and her current mailing address is 6602 Hampton Bend Cir Se, Owens Cross Roads, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114760204.
Provider's Profile
Full Name | Annie Elizabeth Clark |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 6602 Hampton Bend Cir Se, Owens Cross Roads, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114760204
- Provider Enumeration Date: 06/17/2024
- Last Update Date: 06/17/2024
Medical Identifiers
Medical identifiers for Annie Elizabeth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114760204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (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. Annie Elizabeth 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 |
Annie Elizabeth Clark, PA 6602 Hampton Bend Cir Se, Owens Cross Roads, AL 35763-8200 Ph: (256) 603-9685 | Annie Elizabeth Clark, PA 6602 Hampton Bend Cir Se, Owens Cross Roads, AL 35763-8200 Ph: (256) 603-9685 |
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