Kathleen A Clark, PT in Geneva, IL - Medicare Physical Therapist Provider

Kathleen A Clark, PT is a medicare enrolled "Physical Therapist" provider in Geneva, Illinois. Her current practice location is 2700 Keslinger Road, Suite C, Geneva, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 262-2633.

Kathleen A Clark is licensed to practice in Illinois (license number 070011591) 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 1174515829.

Contact Information

	Kathleen A Clark, PT
	2700 Keslinger Road, Suite C, Geneva, IL 60134-4645
	(630) 262-2633
	(630) 262-2643

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen A Clark
Gender	Female
Speciality	Physical Therapist
Location	2700 Keslinger Road, Geneva, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174515829
Provider Enumeration Date: 08/18/2005
Last Update Date: 02/05/2015

Medicare PECOS Information:

PECOS PAC ID: 7517921240
Enrollment ID: I20041112000924

Medical Identifiers

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

Identifier	Type	State	Issuer
1174515829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070011591 (Illinois)	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. Kathleen A Clark allows following entities to bill medicare on her behalf.

Provider Name	Attentive Individualized Management Physical Therapy, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1497244859 PECOS PAC ID: 5395091581 Enrollment ID: O20180630000021

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. Kathleen A 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
Kathleen A Clark, PT P.o. Box 274, Sugar Grove, IL 60554-5031 Ph: (630) 466-9240	Kathleen A Clark, PT 2700 Keslinger Road, Suite C, Geneva, IL 60134-4645 Ph: (630) 262-2633

Reviews and Comments

Physical Therapist in Geneva, IL

Ms. Nancy Jane Walsh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 296 Randall Rd, Geneva, IL 60134 Phone: 630-208-4215
James P. Walsh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 296 Randall Rd, Geneva, IL 60134 Phone: 630-938-6400
Mr. Charles W Cherry, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 296 Randall Rd, Geneva, IL 60134 Phone: 630-208-5767
Amy Lynn Arrocena, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-208-3000
Matthew J Allen, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 W State St Ste F, Geneva, IL 60134 Phone: 877-632-6637
Katherine Ennis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-208-4210
Kimberly Schaumburg, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2525 Kaneville Rd, Geneva, IL 60134 Phone: 630-584-1411 Fax: 630-513-2630

Kathleen A Clark, PT - Medicare Physical Therapist in Geneva, IL