Dr Susanna Clark, PT, DPT, OCS in Lone Tree, CO - Medicare Physical Therapist Provider

Dr Susanna Clark, PT, DPT, OCS is a medicare enrolled "Physical Therapist" provider in Lone Tree, Colorado. Her current practice location is 10450 Park Meadows Dr Ste 103, Lone Tree, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 790-7877.

Dr Susanna Clark is licensed to practice in Colorado (license number PTL0013866) 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 1366713521.

Contact Information

	Dr Susanna Clark, PT, DPT, OCS
	10450 Park Meadows Dr Ste 103, Lone Tree, CO 80124-5528
	(303) 790-7877
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Susanna Clark
Gender	Female
Speciality	Physical Therapist
Location	10450 Park Meadows Dr Ste 103, Lone Tree, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366713521
Provider Enumeration Date: 01/19/2012
Last Update Date: 06/25/2019

Medicare PECOS Information:

PECOS PAC ID: 2163670654
Enrollment ID: I20130925000399

Medical Identifiers

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

Identifier	Type	State	Issuer
1366713521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTL0013866 (Colorado)	Primary
225100000X	Physical Therapist	PT010027 (Georgia)	Secondary

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 Susanna Clark allows following entities to bill medicare on her behalf.

Provider Name	Lone Peak Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477678969 PECOS PAC ID: 5193637262 Enrollment ID: O20031105000719

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 Susanna 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 Susanna Clark, PT, DPT, OCS 10450 Park Meadows Dr Ste 103, Lone Tree, CO 80124-5528 Ph: (303) 790-7877	Dr Susanna Clark, PT, DPT, OCS 10450 Park Meadows Dr Ste 103, Lone Tree, CO 80124-5528 Ph: (303) 790-7877

Reviews and Comments

Physical Therapist in Lone Tree, CO

Maria Martinez, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9218 Kimmer Dr, Suite 100, Lone Tree, CO 80124 Phone: 303-792-7377 Fax: 303-792-9077
Andrew R Stephenitch, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545
Mr. Keith Larson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10450 Park Meadows Dr., Suite 103, Lone Tree, CO 80124 Phone: 303-754-5222 Fax: 303-754-5201
Carolyn Mhairi Nairn Condreay, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10103 Ridgegate Pkwy Ste G01a, Lone Tree, CO 80124 Phone: 720-225-1034
Mrs. Laura B Eral, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545
Mrs. Andrea L Laudenslager, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9218 Kimmer Dr, Suite 100, Lone Tree, CO 80124 Phone: 303-792-7377 Fax: 303-792-9077
Mr. Brett A Terrill, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545

Dr Susanna Clark, PT, DPT, OCS - Medicare Physical Therapist in Lone Tree, CO