Mrs Alishia Monique Clark, OTR/L is a medicare enrolled "Occupational Therapist" provider in Hiddenite, North Carolina. Her current practice location is
792 Lackey Mountain Rd, Hiddenite, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(828) 635-8400.
Mrs Alishia Monique Clark is licensed to practice in North Carolina (license number 5559) 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 1376709394.
Healthcare Provider's Profile
Full Name | Mrs Alishia Monique Clark |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 792 Lackey Mountain Rd, Hiddenite, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376709394
- Provider Enumeration Date: 07/29/2008
- Last Update Date: 01/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870983802
- Enrollment ID: I20220208001301
Medical Identifiers
Medical identifiers for Mrs Alishia Monique Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376709394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 5559 (North Carolina) | 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. Mrs Alishia Monique Clark allows following entities to bill medicare on her behalf.
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895 |
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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 Alishia Monique 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 Alishia Monique Clark, OTR/L 792 Lackey Mountain Rd, Hiddenite, NC 28636-7251 Ph: (704) 402-0686 | Mrs Alishia Monique Clark, OTR/L 792 Lackey Mountain Rd, Hiddenite, NC 28636-7251 Ph: (828) 635-8400 |
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