Timothy A Clark, PA-C is a
Physician Assistant based in Glenelg, Maryland. Timothy A Clark is licensed to practice in * (Not Available) (license number ) and his current practice location is
15011 Double Bridges Ct, Glenelg, Maryland. He can be reached at his office (for appointments etc.) via phone at
(443) 534-6487.
NPI number for Timothy A Clark is 1336851724 and his current mailing address is 15011 Double Bridges Ct, Glenelg, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336851724.
Provider's Profile
Full Name | Timothy A Clark |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 15011 Double Bridges Ct, Glenelg, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336851724
- Provider Enumeration Date: 12/19/2022
- Last Update Date: 12/19/2022
Medical Identifiers
Medical identifiers for Timothy A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336851724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician 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. Timothy A 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 Address | Practice Location Address |
Timothy A Clark, PA-C 15011 Double Bridges Ct, Glenelg, MD 21737-9618 Ph: (443) 534-6487 | Timothy A Clark, PA-C 15011 Double Bridges Ct, Glenelg, MD 21737-9618 Ph: (443) 534-6487 |
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