Emmalee Clark, OTR in Logan, UT - Medicare Occupational Therapist Provider

Emmalee Clark, OTR is a medicare enrolled "Occupational Therapist" provider in Logan, Utah. Her current practice location is 209 W 300 N, Logan, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 716-8535.

Emmalee Clark is licensed to practice in Utah (license number 13444587-4201) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710573969.

Contact Information

	Emmalee Clark, OTR
	209 W 300 N, Logan, UT 84321-3809
	(435) 716-8535
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emmalee Clark
Gender	Female
Speciality	Occupational Therapist
Location	209 W 300 N, Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710573969
Provider Enumeration Date: 12/11/2020
Last Update Date: 06/16/2023

Medicare PECOS Information:

PECOS PAC ID: 6406216654
Enrollment ID: I20230719001926

Medical Identifiers

Medical identifiers for Emmalee Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710573969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	13444587-4201 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Emmalee Clark allows following entities to bill medicare on her behalf.

Provider Name	Sunshine Terrace Foundation, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306000856 PECOS PAC ID: 2668415860 Enrollment ID: O20081003000350

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. Emmalee 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
Emmalee Clark, OTR 1065 S Forgotten Ln, Providence, UT 84332-9319 Ph: (435) 770-5917	Emmalee Clark, OTR 209 W 300 N, Logan, UT 84321-3809 Ph: (435) 716-8535

Reviews and Comments

Occupational Therapist in Logan, UT

Mr. Travis Chamberlain, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 W Center St, Logan, UT 84321 Phone: 435-764-7434
Teamworks Therapy Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 642 N 1000 W Ste 107, Logan, UT 84321 Phone: 435-753-1556 Fax: 866-420-3724
Todd Crae Williams, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N, Suite W, Logan, UT 84341 Phone: 435-716-6440 Fax: 435-716-6441
Drew Anderson, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 453-716-1000
Joy Green, MS,OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6802 Old Main Hl, Logan, UT 84322 Phone: 435-797-1346 Fax: 844-308-5865
James Greg Blotter, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1300 N 500 E Ste 130, Logan, UT 84341 Phone: 435-716-2880
Kylie Grace Ortiz, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-6440

Emmalee Clark, OTR - Medicare Occupational Therapist in Logan, UT