Dennis Erin Clark, is a
Registered Nurse based in Edgerton, Kansas. Dennis Erin Clark is licensed to practice in Kansas (license number 13-86682-081) and his current practice location is
112 W Mcdonald St, Edgerton, Kansas. He can be reached at his office (for appointments etc.) via phone at
(913) 882-9704.
NPI number for Dennis Erin Clark is 1851629422 and his current mailing address is 112 W Mcdonald St, Edgerton, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851629422.
Provider's Profile
Full Name | Dennis Erin Clark |
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Gender | Male |
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Speciality | Registered Nurse |
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Location | 112 W Mcdonald St, Edgerton, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851629422
- Provider Enumeration Date: 11/19/2009
- Last Update Date: 11/19/2009
Medical Identifiers
Medical identifiers for Dennis Erin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851629422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 13-86682-081 (Kansas) | Primary |
163W00000X | Registered Nurse | 2009001167 (Missouri) | Secondary |
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. Dennis Erin 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 |
Dennis Erin Clark, 112 W Mcdonald St, Edgerton, KS 66021-2430 Ph: () - | Dennis Erin Clark, 112 W Mcdonald St, Edgerton, KS 66021-2430 Ph: (913) 882-9704 |
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