Stephanie W Clark, OT in Morrow, GA - Medicare Occupational Therapist Provider

Stephanie W Clark, OT is a medicare enrolled "Occupational Therapist" provider in Morrow, Georgia. Her current practice location is 6635 Lake Dr, Morrow, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 422-4300.

Stephanie W Clark is licensed to practice in Georgia (license number OT001572) 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 1851588610.

Contact Information

	Stephanie W Clark, OT
	6635 Lake Dr, Morrow, GA 30260-2354
	(678) 422-4300
	(678) 422-4299

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie W Clark
Gender	Female
Speciality	Occupational Therapist
Location	6635 Lake Dr, Morrow, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851588610
Provider Enumeration Date: 09/26/2007
Last Update Date: 09/26/2007

Medicare PECOS Information:

PECOS PAC ID: 3678998945
Enrollment ID: I20200803003455

Medical Identifiers

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

Identifier	Type	State	Issuer
1851588610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT001572 (Georgia)	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. Stephanie W Clark allows following entities to bill medicare on her behalf.

Provider Name	Functional Pathways Preferred Of Tennessee Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20150213001140

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. Stephanie W 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
Stephanie W Clark, OT 6635 Lake Dr, Morrow, GA 30260-2354 Ph: (678) 422-4300	Stephanie W Clark, OT 6635 Lake Dr, Morrow, GA 30260-2354 Ph: (678) 422-4300

Reviews and Comments

Occupational Therapist in Morrow, GA

Shanna Green, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 Mount Zion Pkwy, Morrow, GA 30260 Phone: 844-543-8437
Alexandria Grace Stires, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 Mount Zion Pkwy, Morrow, GA 30260 Phone: 844-543-8437
Susan Mary Markle, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7146 Southlake Pkwy, Morrow, GA 30260 Phone: 770-960-9961 Fax: 770-960-9662
Ms. Mary Eleanor Stein, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 Mount Zion Pkwy, Morrow, GA 30260 Phone: 844-543-8437
Sydney Wright, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 Mount Zion Pkwy, Morrow, GA 30260 Phone: 844-543-8437
Sydney Smith, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 Mount Zion Pkwy, Morrow, GA 30260 Phone: 844-543-8437
Shavonna S Warthen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2514 Harbin Village Ct, Morrow, GA 30260 Phone: 404-394-9947

Stephanie W Clark, OT - Medicare Occupational Therapist in Morrow, GA