Edith Clark, DPM is a medicare enrolled "Podiatrist" provider in Clare, Michigan. Her current practice location is
125 Dwyer St, Clare, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 386-9721.
Edith Clark is licensed to practice in Michigan (license number EC001742) 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 1770559528.
Healthcare Provider's Profile
Full Name | Edith Clark |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 125 Dwyer St, Clare, Michigan |
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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:
- Edith Clark attended and graduated from in
NPI Data:
- NPI Number: 1770559528
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 06/10/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Edith Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770559528 | NPI | - | NPPES |
4613888 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | EC001742 (Michigan) | Primary |
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. Edith 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 |
Edith Clark, DPM 4310 Leonard St Nw, Suite 103, Walker, MI 49534-8447 Ph: (616) 453-6329 | Edith Clark, DPM 125 Dwyer St, Clare, MI 48617-1002 Ph: (989) 386-9721 |
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