Patrick Thomas Clark, in Buckeye, AZ - Medicare Physical Therapist Provider

Patrick Thomas Clark, is a medicare enrolled "Physical Therapist" provider in Buckeye, Arizona. His current practice location is 825 S Watson Rd Ste 106, Buckeye, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 207-4015.

Patrick Thomas Clark is licensed to practice in * (Not Available) (license number ) 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 1417682618.

Contact Information

	Patrick Thomas Clark,
	825 S Watson Rd Ste 106, Buckeye, AZ 85326-3435
	(623) 207-4015
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Patrick Thomas Clark
Gender	Male
Speciality	Physical Therapist
Location	825 S Watson Rd Ste 106, Buckeye, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417682618
Provider Enumeration Date: 07/21/2022
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 5294118469
Enrollment ID: I20220822000218

Medical Identifiers

Medical identifiers for Patrick Thomas Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417682618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Patrick Thomas Clark allows following entities to bill medicare on his behalf.

Provider Name	Greenville Proaxis Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769

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. Patrick Thomas 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
Patrick Thomas Clark, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Patrick Thomas Clark, 825 S Watson Rd Ste 106, Buckeye, AZ 85326-3435 Ph: (623) 207-4015

Reviews and Comments

Physical Therapist in Buckeye, AZ

Dr. Jonathan Strengholt, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4236 N Verrado Way Ste 203, Buckeye, AZ 85396 Phone: 623-401-0550
Daniel Cartagena, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6213 N Miller Rd Ste 103, Buckeye, AZ 85326 Phone: 623-386-2660
Mckenna Ann Homner Schmied, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30972 W Cheery Lynn Rd, Buckeye, AZ 85396 Phone: 720-975-3622
Alexis Yvette Mendez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 23350 W Yuma Rd, Buckeye, AZ 85326 Phone: 623-547-5260
Richa Vakil, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 23350 W Yuma Rd, Buckeye, AZ 85326 Phone: 623-547-5260
Logan John Anglin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23350 W Yuma Rd, Buckeye, AZ 85326 Phone: 623-242-6908
Enliven Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20914 W Granada Rd, Buckeye, AZ 85396 Phone: 480-923-9554 Fax: 480-573-9556

Patrick Thomas Clark, - Medicare Physical Therapist in Buckeye, AZ