Carrie-anne Clark, PA-C in Fullerton, CA - Medicare Physician Assistant

Carrie-anne Clark, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Fullerton, California. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Providence Medical Foundation and her current practice location is 100 E Valencia Mesa Dr, Suite 105, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at (714) 446-5200.

Carrie-anne Clark is licensed to practice in California (license number PA17731) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275742462.

Contact Information

	Carrie-anne Clark, PA-C
	100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813
	(714) 446-5200
	(714) 446-5292

Map and Direction

Provider's Profile

Full Name	Carrie-anne Clark
Gender	Female
Speciality	Physician Assistant
Experience	20 Years
Location	100 E Valencia Mesa Dr, Fullerton, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carrie-anne Clark graduated from nursing school in 2004

NPI Data:

NPI Number: 1275742462
Provider Enumeration Date: 05/22/2007
Last Update Date: 10/20/2021

Medicare PECOS Information:

PECOS PAC ID: 6507886363
Enrollment ID: I20051123000219

Medical Identifiers

Medical identifiers for Carrie-anne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275742462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA17731 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Carrie-anne 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
Carrie-anne Clark, PA-C 100 E Valencia Mesa Dr Ste 105, Fullerton, CA 92835-3816 Ph: () -	Carrie-anne Clark, PA-C 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813 Ph: (714) 446-5200

Reviews and Comments

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Danielle Gagain, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2020 Associated Rd Unit 4, Fullerton, CA 92831 Phone: 860-783-5479
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Carrie-anne Clark, PA-C - Medicare Physician Assistant in Fullerton, CA