Mary-katherine Clark, is a medicare enrolled "Physical Therapist" provider in New Haven, Vermont. Her current practice location is
254 Ethan Allen Hwy, New Haven, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 388-7259.
Mary-katherine Clark is licensed to practice in Vermont (license number 040.0134346) 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 1487310934.
Healthcare Provider's Profile
| Full Name | Mary-katherine Clark |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 254 Ethan Allen Hwy, New Haven, Vermont |
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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: 1487310934
- Provider Enumeration Date: 11/09/2021
- Last Update Date: 11/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 5193165280
- Enrollment ID: I20240507001540
Medical Identifiers
Medical identifiers for Mary-katherine Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487310934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 040.0134346 (Vermont) | 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. Mary-katherine Clark allows following entities to bill medicare on her behalf.
| Provider Name | Addison County Home Health& Hospice, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609648146
PECOS PAC ID: 4587983374
Enrollment ID: O20240415000297 |
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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. Mary-katherine 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 |
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Mary-katherine Clark,
Po Box 754,
Middlebury, VT 05753-0754
Ph: () - | Mary-katherine Clark,
254 Ethan Allen Hwy,
New Haven, VT 05472-1045
Ph: (802) 388-7259 |
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