Mrs Kimberley Ann Clark, PT - Medicare Physical Therapist in Canandaigua, NY

Mrs Kimberley Ann Clark, PT is a medicare enrolled "Physical Therapist" provider in Canandaigua, New York. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Clark Physical Therapy Pc and her current practice location is 5415 County Road 30, Canandaigua, New York. You can reach out to her office (for appointments etc.) via phone at (585) 394-9510.

Mrs Kimberley Ann Clark is licensed to practice in New York (license number 024674) 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 1225280886.

Contact Information

Mrs Kimberley Ann Clark, PT
5415 County Road 30,
Canandaigua, NY 14424-7964
(585) 394-9510
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kimberley Ann Clark
GenderFemale
SpecialityPhysical Therapy
Experience22 Years
Location5415 County Road 30, Canandaigua, New York
Accepts Medicare AssignmentsYes. 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 Kimberley Ann Clark graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1225280886
  • Provider Enumeration Date: 10/15/2008
  • Last Update Date: 10/15/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 1153676176
  • Enrollment ID: I20180629001083

Medical Identifiers

Medical identifiers for Mrs Kimberley Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225280886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 024674 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clark Physical Therapy Pc36788383232

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 Kimberley Ann Clark allows following entities to bill medicare on her behalf.
Provider NameClark Physical Therapy Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1124542170
PECOS PAC ID: 3678838323
Enrollment ID: O20180530000092

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 Kimberley Ann 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
Mrs Kimberley Ann Clark, PT
68 Princeton Ln,
Fairport, NY 14450-9027

Ph: (585) 598-3092
Mrs Kimberley Ann Clark, PT
5415 County Road 30,
Canandaigua, NY 14424-7964

Ph: (585) 394-9510

Reviews and Comments


Physical Therapist in Canandaigua, NY

Lake Country Physical Therapy & Sportscare, Pc
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Medicare: Not Enrolled in Medicare
Practice Location: 241 Parrish St, Suite A, Canandaigua, NY 14424
Phone: 585-396-1400    Fax: 585-396-3368
Meghan Rodriguez Roselli,
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Medicare: Not Enrolled in Medicare
Practice Location: 350 Parrish St, Canandaigua, NY 14424
Phone: 585-396-6000    
Mrs. Nace Sue Solana Balorio, PT, DPT
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Practice Location: 132 Camelot Dr, Canandaigua, NY 14424
Phone: 347-246-5411    
Delaney St. George, DPT, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 350 Parrish St, Canandaigua, NY 14424
Phone: 585-396-6000    
Mr. Geoffrey Warwick Hutchinson, PT
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Medicare: Not Enrolled in Medicare
Practice Location: 400 Fort Hill Ave, Canandaigua, NY 14424
Phone: 585-393-7516    
Mathew Janczak, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 350 Parrish St, Canandaigua, NY 14424
Phone: 585-396-6133    
Nancy A Alexander, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 468 S Pearl St, Suite D, Canandaigua, NY 14424
Phone: 585-406-0526    

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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.

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