Kristen J Clark, PA in Gainesville, GA - Medicare Physician Assistant

Kristen J Clark, PA is a medicare enrolled "Physician Assistant" in Gainesville, Georgia. Her current practice location is 1856-14 Thompson Bridge Rd, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 534-2800.

Kristen J Clark is licensed to practice in Georgia (license number 004548) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578527545.

Contact Information

	Kristen J Clark, PA
	1856-14 Thompson Bridge Rd, Gainesville, GA 30501-1663
	(770) 534-2800
	(770) 534-2889

Map and Direction

Provider's Profile

Full Name	Kristen J Clark
Gender	Female
Speciality	Physician Assistant
Location	1856-14 Thompson Bridge Rd, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578527545
Provider Enumeration Date: 04/14/2006
Last Update Date: 05/27/2009

Medicare PECOS Information:

PECOS PAC ID: 1355371725
Enrollment ID: I20090626000522

Medical Identifiers

Medical identifiers for Kristen J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578527545	NPI	-	NPPES
613657510A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	004548 (Georgia)	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. Kristen J 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
Kristen J Clark, PA 1856-14 Thompson Bridge Rd, Gainesville, GA 30501-1663 Ph: (770) 534-2800	Kristen J Clark, PA 1856-14 Thompson Bridge Rd, Gainesville, GA 30501-1663 Ph: (770) 534-2800

Reviews and Comments

Physician Assistant Nurses in Gainesville, GA

Erica Mcdaniel Abney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy, Ste 300, Gainesville, GA 30501 Phone: 770-533-7288 Fax: 770-534-9800
Justina Li Vega, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-533-7288 Fax: 770-534-9800
Mrs. Brandi Nichelle Monroe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4000 Fax: 770-531-2435
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Rachael Leah Brooks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520
Mrs. Megan Elizabeth Gerrells, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 380, Gainesville, GA 30501 Phone: 770-219-7099
Lacey Rovinelli Hook, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 380, Gainesville, GA 30501 Phone: 770-219-7099

Kristen J Clark, PA - Medicare Physician Assistant in Gainesville, GA