Dr Donald Clark, in Henrico, VA - Medicare Physical Therapist Provider

Dr Donald Clark, is a medicare enrolled "Physical Therapist" provider in Henrico, Virginia. His current practice location is 1340 Gaskins Rd Unit 12, Henrico, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 747-4417.

Dr Donald Clark is licensed to practice in Virginia (license number 2305215260) 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 1508584707.

Contact Information

	Dr Donald Clark,
	1340 Gaskins Rd Unit 12, Henrico, VA 23238-4919
	(804) 747-4417
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Donald Clark
Gender	Male
Speciality	Physical Therapist
Location	1340 Gaskins Rd Unit 12, Henrico, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508584707
Provider Enumeration Date: 08/15/2022
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9638546344
Enrollment ID: I20221109003514

Medical Identifiers

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

Identifier	Type	State	Issuer
1508584707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305215260 (Virginia)	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. Dr Donald Clark allows following entities to bill medicare on his behalf.

Provider Name	Select Physical Therapy Holdings Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1457806994 PECOS PAC ID: 9537076401 Enrollment ID: O20170314001295

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. Dr Donald 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
Dr Donald Clark, 9311 Venetian Way, Richmond, VA 23229-6020 Ph: (509) 554-2530	Dr Donald Clark, 1340 Gaskins Rd Unit 12, Henrico, VA 23238-4919 Ph: (804) 747-4417

Reviews and Comments

Physical Therapist in Henrico, VA

Russel Wayne Underwood, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1523 Split Oak Ln Apt H, Henrico, VA 23229 Phone: 804-288-2052
Nicole Marie Anderson, PT, DPT, NCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 8191 Staples Mill Rd, Henrico, VA 23228 Phone: 804-523-2653
Bestinjohn Kanjiracal Jacob, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2620a Gaskins Rd, Henrico, VA 23238 Phone: 804-396-6753 Fax: 888-815-8184
Kyle Ethan Shope, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 Hungary Spring Rd Ste D, Henrico, VA 23228 Phone: 804-756-8490
Bhargavi Nitant Patel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2620a Gaskins Rd, Henrico, VA 23238 Phone: 804-396-6753
Mrs. Neepaben C Patel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2620 A Gaskins Rd, Henrico, VA 23238 Phone: 804-396-6753
Dr. Emily Wright Wolfram, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8115 Staples Mill Rd, Henrico, VA 23228 Phone: 804-655-6327

Dr Donald Clark, - Medicare Physical Therapist in Henrico, VA