Alicia L Clark, DPT in Moosic, PA - Medicare Physical Therapist Provider

Alicia L Clark, DPT is a medicare enrolled "Physical Therapist" provider in Moosic, Pennsylvania. Her current practice location is 4805 Birney Ave, Moosic, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 774-4200.

Alicia L Clark is licensed to practice in Pennsylvania (license number PT018773) 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 1265790240.

Contact Information

	Alicia L Clark, DPT
	4805 Birney Ave, Moosic, PA 18507-1231
	(570) 774-4200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alicia L Clark
Gender	Female
Speciality	Physical Therapist
Location	4805 Birney Ave, Moosic, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265790240
Provider Enumeration Date: 04/27/2012
Last Update Date: 10/09/2023

Medicare PECOS Information:

PECOS PAC ID: 2264681600
Enrollment ID: I20121001000018

Medical Identifiers

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

Identifier	Type	State	Issuer
1265790240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT018773 (Pennsylvania)	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. Alicia L Clark allows following entities to bill medicare on her behalf.

Provider Name	Elite Spine And Sports Physical Therapy Lp
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1932810819 PECOS PAC ID: 0840664918 Enrollment ID: O20230314000386

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. Alicia L 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
Alicia L Clark, DPT 4805 Birney Ave, Moosic, PA 18507-1231 Ph: (570) 774-4200	Alicia L Clark, DPT 4805 Birney Ave, Moosic, PA 18507-1231 Ph: (570) 774-4200

Reviews and Comments

Physical Therapist in Moosic, PA

Dane Michael Kozlevcar, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 72 Glenmaura National Blvd, Suite 102, Moosic, PA 18507 Phone: 570-344-4405 Fax: 570-344-4468
Mr. James Vito Squadrito Jr., PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3356 Birney Plaza, Pro Rehabilitation Services, Moosic, PA 18507 Phone: 570-347-7790 Fax: 570-347-7791
James Oliver Poepperling, L.AC. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 73 Montage Mountain Road, Moosic, PA 18507 Phone: 570-703-0755
Miss Sarah Pilosi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3356 Birney Plz, Moosic, PA 18507 Phone: 570-347-7790
Dr. Clare Winton, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4805 Birney Ave, Moosic, PA 18507 Phone: 570-774-4200 Fax: 570-970-0403
Alexander Lebiak Iii, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4805 Birney Ave, Moosic, PA 18507 Phone: 570-774-4200 Fax: 570-589-2196

Alicia L Clark, DPT - Medicare Physical Therapist in Moosic, PA