| Stacey Clark, PA | |
|
4 Crescent St., Penacook, NH 03303-1412 | |
| (603) 753-4302 | |
| (603) 227-7570 |
| Full Name | Stacey Clark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 4 Crescent St., Penacook, New Hampshire |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710968763 | NPI | - | NPPES |
| 3073660 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2511 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 0622 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Concord Hospital | Concord, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Hospital Inc | 6103721790 | 488 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Clark, PA 4 Crescent St, Penacook, NH 03303-1412 Ph: (603) 753-4302 | Stacey Clark, PA 4 Crescent St., Penacook, NH 03303-1412 Ph: (603) 753-4302 |
Mark P. Herron, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Crescent St, Penacook, NH 03303 Phone: 603-753-4302 Fax: 603-227-7570 | |
Mrs. Meghan C Baron, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4 Crescent St, Penacook, NH 03303 Phone: 603-753-4302 Fax: 603-753-6213 |