Connie Clark, DPT, PT in Lakeway, TX - Medicare Physical Therapist Provider

Connie Clark, DPT, PT is a medicare enrolled "Physical Therapist" provider in Lakeway, Texas. Her current practice location is 2501 Ranch Road 620 S Ste 140, Lakeway, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 527-6944.

Connie Clark is licensed to practice in Texas (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 1023500907.

Contact Information

	Connie Clark, DPT, PT
	2501 Ranch Road 620 S Ste 140, Lakeway, TX 78734-6416
	(512) 527-6944
	(512) 572-7805

Map and Direction

Healthcare Provider's Profile

Full Name	Connie Clark
Gender	Female
Speciality	Physical Therapist
Location	2501 Ranch Road 620 S Ste 140, Lakeway, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023500907
Provider Enumeration Date: 06/05/2018
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 1355686361
Enrollment ID: I20181219003243

Medical Identifiers

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

Identifier	Type	State	Issuer
1023500907	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP001210T (New Hampshire)	Secondary
225100000X	Physical Therapist	PTL.0015088 (Colorado)	Secondary
225100000X	Physical Therapist	(Texas)	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. Connie Clark allows following entities to bill medicare on her behalf.

Provider Name	Scl Health Medical Group - Denver Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1164620084 PECOS PAC ID: 2163339722 Enrollment ID: O20200204000475

Provider Name	Colorado Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891461125 PECOS PAC ID: 7517363617 Enrollment ID: O20210914002694

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. Connie 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
Connie Clark, DPT, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Connie Clark, DPT, PT 2501 Ranch Road 620 S Ste 140, Lakeway, TX 78734-6416 Ph: (512) 527-6944

Reviews and Comments

Physical Therapist in Lakeway, TX

Alexander Martin Field, Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Medical Pkwy Ste 110, Lakeway, TX 78738 Phone: 512-879-4343 Fax: 512-879-4344
Body Balance Lakeway Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1602 Lohmans Crossing Rd, Lakeway, TX 78734 Phone: 251-226-1869 Fax: 512-261-2237
Reese Franklin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5313 Serene Hills Dr Apt 1903, Lakeway, TX 78738 Phone: 713-305-2428
Rachel Antoine, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Dr, Lakeway, TX 78734 Phone: 512-263-4500
Paul James Hendricks, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1602 Lohmans Crossing Rd, Lakeway, TX 78734 Phone: 512-261-8699 Fax: 512-261-2237
Dr. Catherine Winsby Casto, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Pkwy Ste 260, Lakeway, TX 78738 Phone: 737-237-0016

Connie Clark, DPT, PT - Medicare Physical Therapist in Lakeway, TX