Ryan Alexander Clark, DPT in Owensboro, KY - Medicare Physical Therapist Provider

Ryan Alexander Clark, DPT is a medicare enrolled "Physical Therapist" provider in Owensboro, Kentucky. His current practice location is 3515 Frederica St, Owensboro, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 684-7856.

Ryan Alexander Clark is licensed to practice in Kentucky (license number TP2022078) 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 1396467874.

Contact Information

	Ryan Alexander Clark, DPT
	3515 Frederica St, Owensboro, KY 42301-6902
	(270) 684-7856
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ryan Alexander Clark
Gender	Male
Speciality	Physical Therapist
Location	3515 Frederica St, Owensboro, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396467874
Provider Enumeration Date: 09/13/2022
Last Update Date: 09/13/2022

Medicare PECOS Information:

PECOS PAC ID: 4284079948
Enrollment ID: I20240304002931

Medical Identifiers

Medical identifiers for Ryan Alexander Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396467874	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	TP2022078 (Kentucky)	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. Ryan Alexander Clark allows following entities to bill medicare on his behalf.

Provider Name	Kentucky Orthopedic Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1093715054 PECOS PAC ID: 0345157293 Enrollment ID: O20090211000813

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. Ryan Alexander 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
Ryan Alexander Clark, DPT 3515 Frederica St, Owensboro, KY 42301-6902 Ph: (270) 684-7856	Ryan Alexander Clark, DPT 3515 Frederica St, Owensboro, KY 42301-6902 Ph: (270) 684-7856

Reviews and Comments

Physical Therapist in Owensboro, KY

Carol G Adkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1605 Scherm Rd, Owensboro, KY 42301 Phone: 270-663-6050 Fax: 270-663-6051
Ryan Kizer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Triplett St, Owensboro, KY 42303 Phone: 270-683-4517
Jordan Osowicz, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Triplett St, Owensboro, KY 42303 Phone: 270-683-4517 Fax: 270-852-1491
Andrew Branson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2831 New Hartford Rd, Owensboro, KY 42303 Phone: 270-926-4100
Sarah Marie Boles, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Triplett St, Owensboro, KY 42303 Phone: 270-683-4517
Ohio County Midwest Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2811 New Hartford Rd Ste C, Owensboro, KY 42303 Phone: 270-240-2246 Fax: 270-240-3081
Kathryn B Schwartzkopf-phifer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 412 E 2nd St, Owensboro, KY 42303 Phone: 270-926-8145 Fax: 270-926-8147

Ryan Alexander Clark, DPT - Medicare Physical Therapist in Owensboro, KY