Clark Physical Therapy, P.c. is a medicare enrolled "Clinic/center - Physical Therapy" provider in Webster, New York. Their current practice location is
2115 Empire Blvd, Webster, New York. You can reach out to their office (for appointments etc.) via phone at
(585) 267-9547.
Clark Physical Therapy, P.c. is licensed to practice in New York (license number 024340) and it also participates in the medicare program. Clark Physical Therapy, P.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1124542170.
Healthcare Provider's Profile
Full Name | Clark Physical Therapy, P.c. |
---|
Type | Facility |
---|
Speciality | Clinic/center - Physical Therapy |
---|
Location | 2115 Empire Blvd, Webster, New York |
---|
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124542170
- Provider Enumeration Date: 08/01/2017
- Last Update Date: 11/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 3678838323
- Enrollment ID: O20180530000092
Medical Identifiers
Medical identifiers for Clark Physical Therapy, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124542170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251S0007X | Physical Therapist - Sports | 024340 (New York) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 024340 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Clark Physical Therapy, P.c. acts as a billing entity for following providers:
Provider Name | Kimberley Clark |
---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
---|
Provider Identifiers | NPI Number: 1225280886 PECOS PAC ID: 1153676176 Enrollment ID: I20180629001083 |
---|
Provider Name | Jamie Clark |
---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
---|
Provider Identifiers | NPI Number: 1265962617 PECOS PAC ID: 3971858994 Enrollment ID: I20180629001167 |
---|
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. Clark Physical Therapy, P.c. 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 |
Clark Physical Therapy, P.c. 68 Princeton Ln, Fairport, NY 14450-9027 Ph: (585) 267-9547 | Clark Physical Therapy, P.c. 2115 Empire Blvd, Webster, NY 14580-1907 Ph: (585) 267-9547 |
Reviews and Comments