Caroline Clark, PT,DPT in Dacula, GA - Medicare Physical Therapist Provider

Caroline Clark, PT,DPT is a medicare enrolled "Physical Therapist" provider in Dacula, Georgia. Her current practice location is 2089 Teron Trce Ste 120, Dacula, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 904-2357.

Caroline Clark is licensed to practice in Georgia (license number PT014862) 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 1841807831.

Contact Information

	Caroline Clark, PT,DPT
	2089 Teron Trce Ste 120, Dacula, GA 30019-1609
	(770) 904-2357
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Caroline Clark
Gender	Female
Speciality	Physical Therapist
Location	2089 Teron Trce Ste 120, Dacula, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841807831
Provider Enumeration Date: 09/24/2020
Last Update Date: 03/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3779948161
Enrollment ID: I20230509001130

Medical Identifiers

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

Identifier	Type	State	Issuer
1841807831	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT014862 (Georgia)	Primary

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. Caroline 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
Caroline Clark, PT,DPT 2089 Teron Trce Ste 120, Dacula, GA 30019-1609 Ph: (770) 904-2357	Caroline Clark, PT,DPT 2089 Teron Trce Ste 120, Dacula, GA 30019-1609 Ph: (770) 904-2357

Reviews and Comments

Physical Therapist in Dacula, GA

Laurice Aarons, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2089 Teron Trce Ste 120, Dacula, GA 30019 Phone: 770-904-2357
Dr. Jasmine C Williams, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2300 Liam Ave Ste 103, Dacula, GA 30019 Phone: 470-294-0052 Fax: 470-294-0053
Dr. Katie Bannister, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3615 Braselton Hwy, Suite 104, Dacula, GA 30019 Phone: 770-904-6009 Fax: 770-904-2357
Amy Atkinson Bernal, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 976 Redstone Rd, Dacula, GA 30019 Phone: 770-977-2345 Fax: 678-392-4401
Cristen Sisson, BS, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3581 Braselton Hwy, Dacula, GA 30019 Phone: 770-800-7827
Tender Ones Therapy Services, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2089 Teron Trce, Suite 120, Dacula, GA 30019 Phone: 770-904-6009 Fax: 770-904-2357
Yumi Ueda Hutchins, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2515 Fence Rd Ste 160, Dacula, GA 30019 Phone: 770-237-2852 Fax: 770-237-2854

Caroline Clark, PT,DPT - Medicare Physical Therapist in Dacula, GA