Miss Heather Lacey Clark, DPT - Medicare Physical Therapist in Lebanon, KY

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Miss Heather Lacey Clark, DPT is a medicare enrolled "Physical Therapist" provider in Lebanon, Kentucky. Her current practice location is 703 E Main St Unit 1, Lebanon, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 699-9503.

Miss Heather Lacey Clark is licensed to practice in Kentucky (license number 006757) 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 1538538350.

Contact Information

Miss Heather Lacey Clark, DPT
703 E Main St Unit 1,
Lebanon, KY 40033-8696
(270) 699-9503
(270) 699-3804

Map and Direction




Healthcare Provider's Profile

Full NameMiss Heather Lacey Clark
GenderFemale
SpecialityPhysical Therapist
Location703 E Main St Unit 1, Lebanon, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538538350
  • Provider Enumeration Date: 09/22/2015
  • Last Update Date: 05/08/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8729343223
  • Enrollment ID: I20180605000652

Medical Identifiers

Medical identifiers for Miss Heather Lacey Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538538350NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 006757 (Kentucky)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. Miss Heather Lacey Clark allows following entities to bill medicare on her behalf.
Provider NameKentucky Orthopedic Rehabilitation Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1093715054
PECOS PAC ID: 0345157293
Enrollment ID: O20090211000813
Provider NameSn Kentuckiana Rehab Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1609349018
PECOS PAC ID: 1254671464
Enrollment ID: O20190326002841

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. Miss Heather Lacey 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 AddressPractice Location Address
Miss Heather Lacey Clark, DPT
703 E Main St Unit 1,
Lebanon, KY 40033-8696

Ph: (270) 699-9503		Miss Heather Lacey Clark, DPT
703 E Main St Unit 1,
Lebanon, KY 40033-8696

Ph: (270) 699-9503

Reviews and Comments


Physical Therapist in Lebanon, KY

Mrs. Laura Bandy Abell, PT, DPT, OCS
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 703 E Main St Unit 1, Lebanon, KY 40033
Phone: 270-699-9503    
Justin Reed Hazel, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 703 E Main St Unit 1, Lebanon, KY 40033
Phone: 270-699-9503    Fax: 270-699-3804
Mrs. Deanna Delaney, PT,DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 703 E Main St, Lebanon, KY 40033
Phone: 270-699-9503    
Lisa Michelle Ferris, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 703 E Main St, Suite 1, Lebanon, KY 40033
Phone: 270-699-9503    
Christopher Smith, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 703 E Main St Unit 1, Lebanon, KY 40033
Phone: 270-699-9503    Fax: 270-699-3804
Madison Marie Osbourne, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 703 E Main St Unit 1, Lebanon, KY 40033
Phone: 270-699-9503    Fax: 270-699-3804

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.