Marissa Clark, PA-C - Physician Assistant in Willimantic, CT

Marissa Clark, PA-C is a Physician Assistant based in Willimantic, Connecticut. Marissa Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is 112 Mansfield Ave, Willimantic, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 456-9116.

NPI number for Marissa Clark is 1194387431 and her current mailing address is 628 Spring St, Manchester, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194387431.

Contact Information

Marissa Clark, PA-C
112 Mansfield Ave,
Willimantic, CT 06226-2040
(860) 456-9116
Not Available

Map and Direction




Provider's Profile

Full NameMarissa Clark
GenderFemale
SpecialityPhysician Assistant
Location112 Mansfield Ave, Willimantic, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194387431
  • Provider Enumeration Date: 07/08/2019
  • Last Update Date: 11/06/2020

Medical Identifiers

Medical identifiers for Marissa Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194387431NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician 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. Marissa 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 AddressPractice Location Address
Marissa Clark, PA-C
628 Spring St,
Manchester, CT 06040-6746

Ph: () -
Marissa Clark, PA-C
112 Mansfield Ave,
Willimantic, CT 06226-2040

Ph: (860) 456-9116

Reviews and Comments


Physician Assistant Nurses in Willimantic, CT

Hunter Foisy,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 150 Mansfield Ave, Willimantic, CT 06226
Phone: 860-858-1601    
Kevin Jones, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 112 Mansfield Ave, Willimantic, CT 06226
Phone: 860-456-9116    
Mrs. Tracy Hawthorne, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 112 Mansfield Ave, Willimantic, CT 06226
Phone: 860-456-9116    
Kathyrn Amanda Konow,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5 Founders St Ste 100, Willimantic, CT 06226
Phone: 864-239-7640    
Christian Aguilar, PA-C, RDN
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 49 Gifford Ave, Willimantic, CT 06226
Phone: 860-634-1821    
Mrs. Katherine Marie Baird, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 112 Mansfield Ave, Willimantic, CT 06226
Phone: 860-423-6410    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.