Stacie Clark, MPT is a medicare enrolled "Physical Therapist" provider in Stoneboro, Pennsylvania. Her current practice location is
2447 Mercer St, Stoneboro, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 376-3666.
Stacie Clark is licensed to practice in Pennsylvania (license number PT06825) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770599292.
Healthcare Provider's Profile
| Full Name | Stacie Clark |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 2447 Mercer St, Stoneboro, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770599292
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 02/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 6507147600
- Enrollment ID: I20170104000973
Medical Identifiers
Medical identifiers for Stacie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770599292 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT06825 (Pennsylvania) | 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. Stacie Clark allows following entities to bill medicare on her behalf.
| Provider Name | Keystone Rehabilitation Systems Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1205386547
PECOS PAC ID: 7012826753
Enrollment ID: O20161206001178 |
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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. Stacie 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 |
|---|
Stacie Clark, MPT
3449 Hadley Rd,
Hadley, PA 16130-2821
Ph: (724) 253-1044 | Stacie Clark, MPT
2447 Mercer St,
Stoneboro, PA 16153-2711
Ph: (724) 376-3666 |
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