Lowell F. Clark Md Pa - Medicare Primary Care in Bushnell, FL

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Lowell F. Clark Md Pa is a medicare enrolled primary clinic (Internal Medicine) in Bushnell, Florida. The current practice location for Lowell F. Clark Md Pa is 212 S Florida St, Bushnell, Florida. For appointments, you can reach them via phone at (352) 787-1600. The mailing address for Lowell F. Clark Md Pa is 212 S Florida St, Bushnell, Florida and phone number is (352) 787-1600.

Lowell F. Clark Md Pa is licensed to practice in Florida (license number ME45090). The clinic also participates in the medicare program and its NPI number is 1629278882. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (352) 787-1600.

Contact Information

Lowell F. Clark Md Pa
212 S Florida St
Bushnell
FL 33513-6703
(352) 787-1600
(352) 793-3282

Map and Direction


Primary Care Clinic Profile

Full NameLowell F. Clark Md Pa
SpecialityInternal Medicine
Location212 S Florida St, Bushnell, Florida
Authorized Official Name and PositionElizabeth E Folk (PRESIDENT)
Authorized Official Contact3527871600
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lowell F. Clark Md Pa
212 S Florida St
Bushnell
FL 33513-6703

Ph: (352) 787-1600		Lowell F. Clark Md Pa
212 S Florida St
Bushnell
FL 33513-6703

Ph: (352) 787-1600

NPI Details:

NPI Number1629278882
Provider Enumeration Date07/24/2007
Last Update Date12/21/2007

Medicare PECOS Information:

Medicare PECOS PAC ID7416918370
Medicare Enrollment IDO20041023000143

Medical Identifiers

Medical identifiers for Lowell F. Clark Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629278882NPI-NPPES
33972OtherFLBCBS OF FLORIDA GROUP ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME45090 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lowell F. Clark Md Pa acts as a billing entity for following providers:
Provider NameVirginia E Norton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154544989
PECOS PAC ID: 2466432554
Enrollment ID: I20040721000022
Provider NameLowell Frederick Clark
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336103563
PECOS PAC ID: 3577473982
Enrollment ID: I20040813000539
Provider NameHilbert C Zeballos Evangelista
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1700807526
PECOS PAC ID: 8729985825
Enrollment ID: I20041101000662
Provider NameYvonne M Buchanan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083646830
PECOS PAC ID: 7214975036
Enrollment ID: I20050421001326
Provider NameSara E Yermal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659320844
PECOS PAC ID: 7517908452
Enrollment ID: I20050520000244
Provider NameCandace L Chapuseaux
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174517510
PECOS PAC ID: 7113961608
Enrollment ID: I20050615000643
Provider NameRobert D Carraway
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245317635
PECOS PAC ID: 5698877868
Enrollment ID: I20070220000121
Provider NameAngel L Bruno
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1881713600
PECOS PAC ID: 4587753884
Enrollment ID: I20071210000554
Provider NameHope Maddix
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487754073
PECOS PAC ID: 7618063694
Enrollment ID: I20080507000319
Provider NameDonna J O'hara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710186267
PECOS PAC ID: 4385718295
Enrollment ID: I20080811000151
Provider NameGeorge R Ikeler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013944933
PECOS PAC ID: 7911816079
Enrollment ID: I20090909000506
Provider NameBetty A Stapleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356427967
PECOS PAC ID: 2961542212
Enrollment ID: I20091216000525
Provider NameSteven Marc Capps
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932215662
PECOS PAC ID: 0446445795
Enrollment ID: I20101111000990
Provider NameRamon A Perez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659322089
PECOS PAC ID: 7416859517
Enrollment ID: I20110114000819
Provider NameElaine I Kinder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316002249
PECOS PAC ID: 8325147770
Enrollment ID: I20110420000023
Provider NameTanya J Pike
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780980615
PECOS PAC ID: 3779769286
Enrollment ID: I20110518000374
Provider NameNora Jo M Greenia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326288366
PECOS PAC ID: 4789851270
Enrollment ID: I20120124000867
Provider NameMigdalis Matos Gonzalez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679566277
PECOS PAC ID: 2264482017
Enrollment ID: I20120329000334
Provider NameSangeeta Hans
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447488978
PECOS PAC ID: 2163679176
Enrollment ID: I20120827000750
Provider NameKristi Lipps
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275977761
PECOS PAC ID: 8123265824
Enrollment ID: I20130517000230
Provider NameCesar A Orozco
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1003228404
PECOS PAC ID: 9638394034
Enrollment ID: I20140626001984
Provider NameEhrentraud J Eichelbaum
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1255518486
PECOS PAC ID: 3779700836
Enrollment ID: I20140813001547
Provider NameDaniel D Dstteffano
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1740531011
PECOS PAC ID: 8325277924
Enrollment ID: I20140923001953
Provider NameYanira I Lara
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306108022
PECOS PAC ID: 3274754429
Enrollment ID: I20141031001697
Provider NameMichelle Dan El Carr
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1740511815
PECOS PAC ID: 1658593140
Enrollment ID: I20141118001690
Provider NameJose E Rivas
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1952588188
PECOS PAC ID: 4284958562
Enrollment ID: I20150114001633
Provider NameMichael J Aul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912303256
PECOS PAC ID: 1052635695
Enrollment ID: I20150130000912
Provider NameStacey Lynn Rivera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922497601
PECOS PAC ID: 0042537045
Enrollment ID: I20150401001649
Provider NameLuis A Ortiz-torres
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1710911243
PECOS PAC ID: 1951386747
Enrollment ID: I20150505002584
Provider NameRonnie-jane Boekema
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669897377
PECOS PAC ID: 2961718135
Enrollment ID: I20150902001928
Provider NameAkram M Youssef
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942648803
PECOS PAC ID: 7113234659
Enrollment ID: I20150916002384
Provider NameBenroe Wayne Blount
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821193772
PECOS PAC ID: 5395739403
Enrollment ID: I20160714002553
Provider NameMaria S Echavez-arroyo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952506925
PECOS PAC ID: 7517050420
Enrollment ID: I20180328000776
Provider NameGerardo Soto
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1902197445
PECOS PAC ID: 4183941313
Enrollment ID: I20180412000173
Provider NameNoelle Mooneyham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154893477
PECOS PAC ID: 4183962392
Enrollment ID: I20190214000039
Provider NameMary Hyacinth Bodenheimer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154804615
PECOS PAC ID: 5395078364
Enrollment ID: I20190605003061
Provider NameTequila Golden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518430032
PECOS PAC ID: 4880021724
Enrollment ID: I20200305001152
Provider NameScott Menard
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1417579244
PECOS PAC ID: 2567888944
Enrollment ID: I20200831002874
Provider NameMarizel Vasquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104259001
PECOS PAC ID: 4880985597
Enrollment ID: I20201026001408
Provider NameVictor Yosef Melt Campos
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1942703525
PECOS PAC ID: 9931529203
Enrollment ID: I20201104000737
Provider NameFabian Alexander Turushina Montano
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1326658899
PECOS PAC ID: 7517371156
Enrollment ID: I20210122001227
Provider NameGlenn Derit
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619571726
PECOS PAC ID: 9537459284
Enrollment ID: I20210511002810
Provider NameLaura Lea Aul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801126461
PECOS PAC ID: 3870994148
Enrollment ID: I20210623003377
Provider NameJoyce P Greene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881353951
PECOS PAC ID: 6305843087
Enrollment ID: I20220608002769
Provider NameMitchell Berman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639827389
PECOS PAC ID: 3577949924
Enrollment ID: I20221007002003
Provider NameRachel Etta Tucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952015588
PECOS PAC ID: 8123491099
Enrollment ID: I20230224001306
Provider NameLaura Paige
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669132445
PECOS PAC ID: 3072978022
Enrollment ID: I20230427000681
Provider NameMaria Rophelia Paras
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720654395
PECOS PAC ID: 8123484151
Enrollment ID: I20230517003395
Provider NameCarlos Carranza
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1689777955
PECOS PAC ID: 2062410590
Enrollment ID: I20240326004446

Reviews and Comments


Internal Medicine in Bushnell, FL

Clark Ltc Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 212 S Florida St, Bushnell, FL 33513
Phone: 352-793-2441    
Premier Healthcare Systems
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1225 W County Road 48, Bushnell, FL 33513
Phone: 352-516-3972    
Bushnell Family Practice
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 117 W Belt Ave, Suite A, Bushnell, FL 33513
Phone: 352-568-1988    Fax: 352-568-2427
Clark Clinic Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 212 S Florida St, Bushnell, FL 33513
Phone: 352-793-2441    Fax: 352-793-2649

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.