Mrs Debra Sue Clark, PT in Edmond, OK - Medicare Physical Therapy Provider

Mrs Debra Sue Clark, PT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Edmond, Oklahoma. She graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Fundamental Physical Therapy Pllc and her current practice location is 3500 S Boulevard, Suite A, Edmond, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 513-8118.

Mrs Debra Sue Clark is licensed to practice in Oklahoma (license number PT 821) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720178650.

Contact Information

	Mrs Debra Sue Clark, PT
	3500 S Boulevard, Suite A, Edmond, OK 73013-5490
	(405) 513-8118
	(405) 513-6490

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Debra Sue Clark
Gender	Female
Speciality	Physical Therapy
Experience	45 Years
Location	3500 S Boulevard, Edmond, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Debra Sue Clark graduated from medical school in 1979

NPI Data:

NPI Number: 1720178650
Provider Enumeration Date: 10/13/2006
Last Update Date: 12/19/2016

Medicare PECOS Information:

PECOS PAC ID: 2365585247
Enrollment ID: I20100201000157

Medical Identifiers

Medical identifiers for Mrs Debra Sue Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720178650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT 821 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fundamental Physical Therapy Pllc	4183767072	2

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. Mrs Debra Sue Clark allows following entities to bill medicare on her behalf.

Provider Name	Fundamental Physical Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215266671 PECOS PAC ID: 4183767072 Enrollment ID: O20100201000159

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. Mrs Debra Sue 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
Mrs Debra Sue Clark, PT 3500 S Boulevard, Ste A1, Edmond, OK 73013-5490 Ph: (405) 513-8118	Mrs Debra Sue Clark, PT 3500 S Boulevard, Suite A, Edmond, OK 73013-5490 Ph: (405) 513-8118

Reviews and Comments

Physical Therapist in Edmond, OK

Jakob Curtis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1271 W Danforth Rd, Edmond, OK 73003 Phone: 405-396-8000 Fax: 405-726-8181
Olivia Diel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3125 N Sooner Rd Ste 150, Edmond, OK 73034 Phone: 405-285-9659 Fax: 405-920-6070
Laura Foshee, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15101 Lleytons Ct Ste 102, Edmond, OK 73013 Phone: 405-726-1580 Fax: 405-310-6866
Core Pt Edmond Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1410 Fretz Dr, Edmond, OK 73003 Phone: 405-285-8477 Fax: 405-285-8499
Mr. Samer Imad Zantout, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13801 N Bryant Ave, Suite 400, Edmond, OK 73013 Phone: 405-286-6080 Fax: 866-594-7004
Linda Sue Roberts, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1424 Boathouse Rd, Edmond, OK 73034 Phone: 405-664-4876 Fax: 405-447-1198
Ms. Judy Howard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 429 Gold Fields Trl, Edmond, OK 73003 Phone: 509-859-4177

Mrs Debra Sue Clark, PT - Medicare Physical Therapist in Edmond, OK