Mr Justin Clark, PA-C - Medicare Physician Assistant in Phoenix, AZ

Mr Justin Clark, PA-C is a medicare enrolled "Physician Assistant" in Phoenix, Arizona. His current practice location is 645 E Missouri Ave Ste 300, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 500-2545.

Mr Justin Clark is licensed to practice in Arizona (license number 9159) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801493226.

Contact Information

Mr Justin Clark, PA-C
645 E Missouri Ave Ste 300,
Phoenix, AZ 85012-1351
(480) 500-2545
Not Available

Map and Direction




Provider's Profile

Full NameMr Justin Clark
GenderMale
SpecialityPhysician Assistant
Location645 E Missouri Ave Ste 300, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801493226
  • Provider Enumeration Date: 10/08/2020
  • Last Update Date: 06/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799165031
  • Enrollment ID: I20220705002258

Medical Identifiers

Medical identifiers for Mr Justin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801493226NPI-NPPES
9159OtherAZARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 9159 (Arizona)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. Mr Justin 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 AddressPractice Location Address
Mr Justin Clark, PA-C
320 E Portland St Apt 405,
Phoenix, AZ 85004-1882

Ph: (260) 312-7090
Mr Justin Clark, PA-C
645 E Missouri Ave Ste 300,
Phoenix, AZ 85012-1351

Ph: (480) 500-2545

Reviews and Comments


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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).

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