Koreena Clark, in Pasadena, MD - Medicare Occupational Therapist Provider

Koreena Clark, is a medicare enrolled "Occupational Therapist" provider in Pasadena, Maryland. Her current practice location is 3654 Seaford Ct, Pasadena, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 850-3577.

Koreena Clark is licensed to practice in Maryland (license number 09209) 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 1043911985.

Contact Information

	Koreena Clark,
	3654 Seaford Ct, Pasadena, MD 21122-6451
	(443) 850-3577
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Koreena Clark
Gender	Female
Speciality	Occupational Therapist
Location	3654 Seaford Ct, Pasadena, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043911985
Provider Enumeration Date: 03/16/2023
Last Update Date: 03/16/2023

Medicare PECOS Information:

PECOS PAC ID: 9032574652
Enrollment ID: I20230503001160

Medical Identifiers

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

Identifier	Type	State	Issuer
1043911985	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	09209 (Maryland)	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. Koreena Clark allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehab Ot Md Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073850343 PECOS PAC ID: 4981847977 Enrollment ID: O20130823000042

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. Koreena 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
Koreena Clark, 3654 Seaford Ct, Pasadena, MD 21122-6451 Ph: () -	Koreena Clark, 3654 Seaford Ct, Pasadena, MD 21122-6451 Ph: (443) 850-3577

Reviews and Comments

Occupational Therapist in Pasadena, MD

Corie Sullivan, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8109 Ritchie Hwy, Pasadena, MD 21122 Phone: 301-581-8054 Fax: 301-564-0284
Dina Marie Miles Breslin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 Early Pride Ct, Pasadena, MD 21122 Phone: 410-437-5367
Mary Lapuma, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8144 Jade Crossing Ct, Pasadena, MD 21122 Phone: 315-725-6279
Kellie Tysor, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 334 Bar Harbor Road, Pasadena, MD 21122 Phone: 410-218-3215
Mrs. Cynthia Lynn Taylor, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 771 G St, Pasadena, MD 21122 Phone: 410-360-0717
Sara Mcfarland, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 358 Hickory Point Rd, Pasadena, MD 21122 Phone: 410-370-6845

Koreena Clark, - Medicare Occupational Therapist in Pasadena, MD