Lisa Bardy Clark, MD in Destin, FL - Medicare Family Medicine

Lisa Bardy Clark, MD is a medicare enrolled "Family Medicine" physician in Destin, Florida. Her current practice location is 12815 Highway 98 West, Suite 116, Destin, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 269-0111.

Lisa Bardy Clark is licensed to practice in Florida (license number ME73997) 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 1598779100.

Contact Information

	Lisa Bardy Clark, MD
	12815 Highway 98 West, Suite 116, Destin, FL 32550
	(850) 269-0111
	(850) 269-0114

Map and Direction

Physician's Profile

Full Name	Lisa Bardy Clark
Gender	Female
Speciality	Family Medicine
Location	12815 Highway 98 West, Destin, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598779100
Provider Enumeration Date: 07/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3779775614
Enrollment ID: I20101011000108

Medical Identifiers

Medical identifiers for Lisa Bardy Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598779100	NPI	-	NPPES
7589056	Other		AETNA USHC #
43826	Other	FL	BCBS OF FL PROVIDER #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME73997 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa Bardy Clark allows following entities to bill medicare on her behalf.

Entity Name	Emerald Coast Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396865556 PECOS PAC ID: 8224125869 Enrollment ID: O20071030000310

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. Lisa Bardy 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
Lisa Bardy Clark, MD 12815 Highway 98 West, Suite 116, Destin, FL 32550 Ph: (850) 269-0111	Lisa Bardy Clark, MD 12815 Highway 98 West, Suite 116, Destin, FL 32550 Ph: (850) 269-0111

Reviews and Comments

Family Medicine Doctors in Destin, FL

Ronald Gavilan Yodu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Emerald Coast Pkwy, Destin, FL 32541 Phone: 850-837-0032 Fax: 850-837-9257
Dr. John Luther Lentz Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 737 Highway 98 E Ste 1, Destin, FL 32541 Phone: 850-424-6841 Fax: 850-424-6845
Mikael Judson Mackinney, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Emerald Coast Pkwy, Destin, FL 32541 Phone: 850-837-0032 Fax: 850-650-2787
David L. Zielinski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Emerald Coast Pkwy, Destin, FL 32541 Phone: 850-837-0032 Fax: 850-278-3826
Mr. Anthony V Lanasa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12272 Us Highway 98 W, Destin, FL 32550 Phone: 850-269-0662 Fax: 850-269-0745
Dr. Lloyd Dale Gauvin, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1234 Airport Rd, Suite 12, Destin, FL 32541 Phone: 850-837-2200
Mr. Harry Yeates, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Emerald Coast Pkwy, Destin, FL 32541 Phone: 850-837-0032 Fax: 850-278-3826

Lisa Bardy Clark, MD - Medicare Family Medicine in Destin, FL