Meredith Katherine Clark, O D in Havre De Grace, MD

Meredith Katherine Clark, O D is a medicare enrolled "Optometrist" provider in Havre De Grace, Maryland. Her current practice location is 920 Revolution St, Havre De Grace, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 939-2200.

Meredith Katherine Clark is licensed to practice in Maryland (license number TA2371) 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 1124382601.

Contact Information

	Meredith Katherine Clark, O D
	920 Revolution St, Havre De Grace, MD 21078-3748
	(410) 939-2200
	(410) 939-5980

Map and Direction

Healthcare Provider's Profile

Full Name	Meredith Katherine Clark
Gender	Female
Speciality	Optometrist
Location	920 Revolution St, Havre De Grace, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124382601
Provider Enumeration Date: 06/28/2012
Last Update Date: 09/22/2014

Medicare PECOS Information:

PECOS PAC ID: 9436308491
Enrollment ID: I20201118002597

Medical Identifiers

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

Identifier	Type	State	Issuer
1124382601	NPI	-	NPPES
A13586	Other	MD	EYEMED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OEG002639 (Pennsylvania)	Secondary
152W00000X	Optometrist	TA2371 (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. Meredith Katherine Clark allows following entities to bill medicare on her behalf.

Provider Name	Northern Connecticut Eye Associates, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518294461 PECOS PAC ID: 2365584471 Enrollment ID: O20100127000424

Provider Name	Envision 2020 Eyecare Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801445028 PECOS PAC ID: 8527493030 Enrollment ID: O20200110000235

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. Meredith Katherine 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
Meredith Katherine Clark, O D 920 Revolution St, Havre De Grace, MD 21078-3748 Ph: (410) 939-2200	Meredith Katherine Clark, O D 920 Revolution St, Havre De Grace, MD 21078-3748 Ph: (410) 939-2200

Reviews and Comments

Optometrist in Havre De Grace, MD

Holloway Eye Care & Optique Optometrist Medicare: Medicare Enrolled Practice Location: 2015-c Pulaski Highway, Havre De Grace, MD 21078 Phone: 410-939-7717 Fax: 410-939-7739
Dr. Scott Michael Smearman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2023 Pulaski Highway, Havre De Grace, MD 21078 Phone: 410-939-6477 Fax: 410-939-6555
Dr. Jessica A Wieser, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2023 Pulaski Hwy, Havre De Grace, MD 21078 Phone: 410-939-6477 Fax: 410-939-6555
Jayro Loya Grijalva, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2023 Pulaski Hwy, Havre De Grace, MD 21078 Phone: 410-939-6477
Dr. David D Reed, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2023 Pulaski Highway, Havre De Grace, MD 21078 Phone: 410-939-6477 Fax: 410-939-6555
Dr. Patricia Vivian Jones, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2023 Pulaski Hwy, Havre De Grace, MD 21078 Phone: 410-939-6477

Meredith Katherine Clark, O D - Medicare Optometrist in Havre De Grace, MD