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

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 Name	Mrs Kimberley Ann Clark
Gender	Female
Speciality	Physical Therapy
Experience	22 Years
Location	5415 County Road 30, Canandaigua, New York
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 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.

Identifier	Type	State	Issuer
1225280886	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	024674 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clark Physical Therapy Pc	3678838323	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 Kimberley Ann Clark allows following entities to bill medicare on her behalf.

Provider Name	Clark Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI 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 Address	Practice 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 Physical Therapist 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, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Parrish St, Canandaigua, NY 14424 Phone: 585-396-6000
Nora Stambaugh, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 229 Parrish St Ste 220, Canandaigua, NY 14424 Phone: 585-394-3920
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 Physical Therapist 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

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