Austin Cole Clark, in Washington Township, OH - Medicare Physical Therapist Provider

Austin Cole Clark, is a medicare enrolled "Physical Therapist" provider in Washington Township, Ohio. His current practice location is 715 Congress Park Dr, Washington Township, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 660-7638.

Austin Cole Clark is licensed to practice in Ohio (license number PT021195) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669215042.

Contact Information

	Austin Cole Clark,
	715 Congress Park Dr, Washington Township, OH 45459-4044
	(937) 660-7638
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Austin Cole Clark
Gender	Male
Speciality	Physical Therapist
Location	715 Congress Park Dr, Washington Township, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669215042
Provider Enumeration Date: 06/14/2024
Last Update Date: 06/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8426597600
Enrollment ID: I20240903000179

Medical Identifiers

Medical identifiers for Austin Cole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669215042	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT021195 (Ohio)	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. Austin Cole Clark allows following entities to bill medicare on his behalf.

Provider Name	Mobility Fit Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1003237470 PECOS PAC ID: 1052670379 Enrollment ID: O20180112001546

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. Austin Cole 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
Austin Cole Clark, 820 Jilbe Ln, Loveland, OH 45140-2817 Ph: () -	Austin Cole Clark, 715 Congress Park Dr, Washington Township, OH 45459-4044 Ph: (937) 660-7638

Reviews and Comments

Physical Therapist in Washington Township, OH

Katie Utz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7677 Yankee St Ste 210, Washington Township, OH 45459 Phone: 937-401-6109
Karley Kardasz, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7750 Paragon Rd, Washington Township, OH 45459 Phone: 937-291-3780
Physical Therapist Medicare: Medicare Enrolled Practice Location: 685 Lyons Rd, Washington Township, OH 45459 Phone: 937-938-1104 Fax: 937-697-8115
Polka Dot Kids Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7333 Paragon Rd Ste 230, Washington Township, OH 45459 Phone: 513-930-0224
Jessica Paul, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7750 Paragon Rd, Washington Township, OH 45459 Phone: 937-291-3780
Brian Heinbaugh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7750 Paragon Rd, Washington Township, OH 45459 Phone: 937-291-3780

Austin Cole Clark, - Medicare Physical Therapist in Washington Township, OH