Mrs Shanta Lynn Clark, PA-C in Dowagiac, MI - Medicare Physician Assistant

Mrs Shanta Lynn Clark, PA-C is a medicare enrolled "Physician Assistant" in Dowagiac, Michigan. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Pokagon Band Of Potawatomi Indians and her current practice location is 58620 Sink Rd, Pokagon Health Services, Dowagiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 782-4141.

Mrs Shanta Lynn Clark is licensed to practice in Michigan (license number 5601007413) 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 1790169688.

Contact Information

	Mrs Shanta Lynn Clark, PA-C
	58620 Sink Rd, Pokagon Health Services, Dowagiac, MI 49047-9329
	(269) 782-4141
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shanta Lynn Clark
Gender	Female
Speciality	Physician Assistant
Experience	9 Years
Location	58620 Sink Rd, Dowagiac, Michigan
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:

Mrs Shanta Lynn Clark graduated from nursing school in 2015

NPI Data:

NPI Number: 1790169688
Provider Enumeration Date: 07/10/2015
Last Update Date: 07/10/2015

Medicare PECOS Information:

PECOS PAC ID: 3870808231
Enrollment ID: I20150813010500

Medical Identifiers

Medical identifiers for Mrs Shanta Lynn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790169688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5601007413 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pokagon Band Of Potawatomi Indians	3476455445	11

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. Mrs Shanta Lynn 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
Mrs Shanta Lynn Clark, PA-C 58620 Sink Rd, Pokagon Health Services, Dowagiac, MI 49047-9329 Ph: (269) 782-4141	Mrs Shanta Lynn Clark, PA-C 58620 Sink Rd, Pokagon Health Services, Dowagiac, MI 49047-9329 Ph: (269) 782-4141

Reviews and Comments

Physician Assistant Nurses in Dowagiac, MI

Ms. Kathleen Basha, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 57392 M 51 S, Dowagiac, MI 49047 Phone: 269-462-9587 Fax: 269-462-9589
Lisa Marie Smith, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 520 Main St, Dowagiac, MI 49047 Phone: 269-783-3052
Christopher Alan Staley Jr., Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Main St, Dowagiac, MI 49047 Phone: 269-783-3052
Mr. Timothy James Sayers, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 515 Main St, Dowagiac, MI 49047 Phone: 269-782-8013 Fax: 269-782-8013

Mrs Shanta Lynn Clark, PA-C - Medicare Physician Assistant in Dowagiac, MI