Anne C Clark, PT is a medicare enrolled "Specialist" provider in Huntington Beach, California. Her current practice location is
2500 Main Street, 250, Huntington Beach, California. You can reach out to her office (for appointments etc.) via phone at
(714) 374-4383.
Anne C Clark is licensed to practice in Illinois (license number ) 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 1275571465.
Healthcare Provider's Profile
Full Name | Anne C Clark |
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Gender | Female |
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Speciality | Specialist |
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Location | 2500 Main Street, Huntington Beach, California |
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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: 1275571465
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 0840232617
- Enrollment ID: I20230412002584
Medical Identifiers
Medical identifiers for Anne C Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275571465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251X0800X | Physical Therapist - Orthopedic | 33532 (California) | Primary |
174400000X | Specialist | (Illinois) | 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. Anne C Clark allows following entities to bill medicare on her behalf.
Provider Name | California Luna Care Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
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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. Anne C 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 |
Anne C Clark, PT 6465 Jasmine Dr, Huntington Beach, CA 92648-6704 Ph: (714) 374-4383 | Anne C Clark, PT 2500 Main Street, 250, Huntington Beach, CA 92648 Ph: (714) 374-4383 |
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