Maranda Clark, PT is a medicare enrolled "Physical Therapist" provider in Hohenwald, Tennessee. Her current practice location is
119 Kittrell St, Hohenwald, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 796-3233.
Maranda Clark is licensed to practice in Tennessee (license number 7069) 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 1760566715.
Healthcare Provider's Profile
| Full Name | Maranda Clark |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 119 Kittrell St, Hohenwald, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760566715
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2365803277
- Enrollment ID: I20230725001623
Medical Identifiers
Medical identifiers for Maranda Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760566715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 7069 (Tennessee) | 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. Maranda Clark allows following entities to bill medicare on her behalf.
| Provider Name | Rehab America, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1467561258
PECOS PAC ID: 3476563222
Enrollment ID: O20230106000709 |
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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. Maranda 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 |
|---|
Maranda Clark, PT
141 Windwood Ln,
Hohenwald, TN 38462-5222
Ph: () - | Maranda Clark, PT
119 Kittrell St,
Hohenwald, TN 38462-1364
Ph: (931) 796-3233 |
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