Jennie S Clark, PA C in Knoxville, TN - Medicare Physician Assistant

Jennie S Clark, PA C is a medicare enrolled "Physician Assistant - Surgical" in Knoxville, Tennessee. She went to University Of South Carolina School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Health System, Inc. and her current practice location is 1940 Alcoa Hwy Ste E260, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 305-6955.

Jennie S Clark is licensed to practice in Tennessee (license number 1120) 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 1114910247.

Contact Information

	Jennie S Clark, PA C
	1940 Alcoa Hwy Ste E260, Knoxville, TN 37920-2266
	(865) 305-6955
	(865) 305-8238

Map and Direction

Provider's Profile

Full Name	Jennie S Clark
Gender	Female
Speciality	Physician Assistant
Experience	21 Years
Location	1940 Alcoa Hwy Ste E260, Knoxville, Tennessee
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:

Jennie S Clark attended and graduated from University Of South Carolina School Of Medicine in 2003

NPI Data:

NPI Number: 1114910247
Provider Enumeration Date: 08/24/2005
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4183607682
Enrollment ID: I20040607001475

Medical Identifiers

Medical identifiers for Jennie S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114910247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1120 (Tennessee)	Secondary
363AS0400X	Physician Assistant - Surgical	1120 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Tn Medical Center	Knoxville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Health System, Inc.	5294646378	531

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennie S Clark allows following entities to bill medicare on her behalf.

Entity Name	University Health System, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790738763 PECOS PAC ID: 5294646378 Enrollment ID: O20031111000809

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. Jennie S 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
Jennie S Clark, PA C Po Box 440547, Nashville, TN 37244-0547 Ph: (865) 670-6199	Jennie S Clark, PA C 1940 Alcoa Hwy Ste E260, Knoxville, TN 37920-2266 Ph: (865) 305-6955

Reviews and Comments

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Mrs. Leslie I. Adams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10430 Lovell Center Dr, Knoxville, TN 37922 Phone: 865-693-6882 Fax: 865-693-2909

Jennie S Clark, PA C - Medicare Physician Assistant in Knoxville, TN