Kaela Ann Clark, in Wilmington, NC - Medicare Qualified Speech Language Pathologist Provider

Kaela Ann Clark, is a medicare enrolled "Speech-language Pathologist" provider in Wilmington, North Carolina. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Coastline Therapy Group, Llc and her current practice location is 3901 Wrightsville Ave Ste 120, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 521-4301.

Kaela Ann Clark is licensed to practice in North Carolina (license number 14792) 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 1205404621.

Contact Information

	Kaela Ann Clark,
	3901 Wrightsville Ave Ste 120, Wilmington, NC 28403-6256
	(980) 521-4301
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kaela Ann Clark
Gender	Female
Speciality	Qualified Speech Language Pathologist
Experience	4 Years
Location	3901 Wrightsville Ave Ste 120, Wilmington, North Carolina
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:

Kaela Ann Clark graduated from medical school in 2020

NPI Data:

NPI Number: 1205404621
Provider Enumeration Date: 06/13/2021
Last Update Date: 02/15/2023

Medicare PECOS Information:

PECOS PAC ID: 5698160687
Enrollment ID: I20220309000975

Medical Identifiers

Medical identifiers for Kaela Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205404621	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	14792 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Coastline Therapy Group, Llc	5799023826	14

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. Kaela Ann Clark allows following entities to bill medicare on her behalf.

Provider Name	Coastline Therapy Group, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730681388 PECOS PAC ID: 5799023826 Enrollment ID: O20190214001080

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. Kaela Ann 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
Kaela Ann Clark, Po Box 9804, Greensboro, NC 27429-0804 Ph: () -	Kaela Ann Clark, 3901 Wrightsville Ave Ste 120, Wilmington, NC 28403-6256 Ph: (980) 521-4301

Reviews and Comments

Speech-Language Pathologist in Wilmington, NC

Speech 4 Kidz, Inc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5919 Oleander Dr, #119, Wilmington, NC 28403 Phone: 910-470-7937
Patricia Rambadt, M.S. CCC/LSP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4130 Oleander Dr, Wilmington, NC 28403 Phone: 910-679-8385
Shana' Darleen Hubbard, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3901 Wrightsville Ave Ste 120, Wilmington, NC 28403 Phone: 910-679-8385
Ms. Patricia Walters Lowery, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Oak Landing Rd, Wilmington, NC 28409 Phone: 910-297-3417
Chatterbox Speech & Language Services, Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 303 Saltram Ct, Wilmington, NC 28411 Phone: 910-619-2277
Mrs. Ronda Star Sitnik, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4114 Shipyard Blvd, Wilmington, NC 28403 Phone: 910-343-8988 Fax: 910-242-4144
Mrs. Katherine Beth Cohen, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3901 Wrightsville Ave, Wilmington, NC 28403 Phone: 910-679-8385

Kaela Ann Clark, - Medicare Speech-Language Pathologist in Wilmington, NC