Mr Casey J Clark, PT in Oxford, MS - Medicare Physical Therapist Provider

Mr Casey J Clark, PT is a medicare enrolled "Physical Therapist" provider in Oxford, Mississippi. His current practice location is 2170 S Lamar Blvd, Oxford, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 234-8559.

Mr Casey J Clark is licensed to practice in Mississippi (license number PT3203) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174528871.

Contact Information

	Mr Casey J Clark, PT
	2170 S Lamar Blvd, Oxford, MS 38655-5224
	(662) 234-8559
	(662) 234-7923

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Casey J Clark
Gender	Male
Speciality	Physical Therapist
Location	2170 S Lamar Blvd, Oxford, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174528871
Provider Enumeration Date: 06/17/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567452030
Enrollment ID: I20040517000151

Medical Identifiers

Medical identifiers for Mr Casey J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174528871	NPI	-	NPPES
01802208	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT3203 (Mississippi)	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. Mr Casey J Clark allows following entities to bill medicare on his behalf.

Provider Name	Professional Therapy Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154423457 PECOS PAC ID: 1557351244 Enrollment ID: O20040514000603

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. Mr Casey J 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
Mr Casey J Clark, PT 2170 S Lamar Blvd, Oxford, MS 38655-5224 Ph: (662) 234-8559	Mr Casey J Clark, PT 2170 S Lamar Blvd, Oxford, MS 38655-5224 Ph: (662) 234-8559

Reviews and Comments

Physical Therapist in Oxford, MS

Mr. Andrew Ashby Buglewicz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2205 Jefferson Davis Dr, Oxford, MS 38655 Phone: 662-238-2800 Fax: 662-238-2808
Cecilia Escario, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 Veterans Dr, Oxford, MS 38655 Phone: 662-259-5516
Kenneth C Hill, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 Enterprise Dr Ste B, Oxford, MS 38655 Phone: 662-234-0010 Fax: 662-234-0017
Cornerstone Rehabilitation Of Univ-oxf-laf Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201a Office Park Dr, Oxford, MS 38655 Phone: 662-371-1987 Fax: 662-371-1989
Mrs. Angela Arnold Forester, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2580 Jackson Ave W, Ste 38, Oxford, MS 38655 Phone: 662-232-8949 Fax: 662-232-8950
Haley Paige Matkins Gaines, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 204 Enterprise Dr Unit 15, Oxford, MS 38655 Phone: 662-234-0010
Endurance Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 2714 W Oxford Loop Ste 164, Oxford, MS 38655 Phone: 662-232-8949 Fax: 662-232-8950

Mr Casey J Clark, PT - Medicare Physical Therapist in Oxford, MS