Sabrina L Clark, DO in Kennesaw, GA

Sabrina L Clark, DO is a medicare enrolled "Pediatrics" physician in Kennesaw, Georgia. Her current practice location is 205 Hawkins Store Rd Nw Ste B1, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 928-0862.

Sabrina L Clark is licensed to practice in Georgia (license number 79179) 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 1932527041.

Contact Information

	Sabrina L Clark, DO
	205 Hawkins Store Rd Nw Ste B1, Kennesaw, GA 30144
	(770) 928-0862
	Not Available

Map and Direction

Physician's Profile

Full Name	Sabrina L Clark
Gender	Female
Speciality	Pediatrics
Location	205 Hawkins Store Rd Nw Ste B1, Kennesaw, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932527041
Provider Enumeration Date: 04/04/2014
Last Update Date: 06/10/2019

Medicare PECOS Information:

PECOS PAC ID: 5496057457
Enrollment ID: I20190409003537

Medical Identifiers

Medical identifiers for Sabrina L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932527041	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	R3296 (Texas)	Secondary
208000000X	Pediatrics	79179 (Georgia)	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. Sabrina L Clark allows following entities to bill medicare on her behalf.

Entity Name	Kelsey-seybold Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204

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. Sabrina L 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
Sabrina L Clark, DO 205 Hawkins Store Rd Nw Ste B1, Kennesaw, GA 30144-6215 Ph: (770) 928-0862	Sabrina L Clark, DO 205 Hawkins Store Rd Nw Ste B1, Kennesaw, GA 30144 Ph: (770) 928-0862

Reviews and Comments

Pediatrics Doctors in Kennesaw, GA

Brandi Lewis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1180 Ernest W Barrett Pkwy Nw Ste 102b, Kennesaw, GA 30144 Phone: 678-354-2273
Krishna Eechampati, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 625 Big Shanty Rd Nw, Kennesaw, GA 30144 Phone: 404-785-8010 Fax: 404-785-8090
Dr. Kimberly Dao-king, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Ln Nw, Kennesaw, GA 30144 Phone: 800-611-1811
Karen Spencer Thrower, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St, Ste 401, Kennesaw, GA 30144 Phone: 770-429-1005 Fax: 770-429-8005
Anabelle Monroe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Pediatrics Health Care Team A, 750 Townpark Lane, Kennesaw, GA 30144 Phone: 770-514-5455 Fax: 770-514-5444
Constance Enmon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 625 Big Shanty Rd Nw, Kennesaw, GA 30144 Phone: 404-785-8010 Fax: 404-785-8090
Bryana Ferris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144 Phone: 678-354-2273 Fax: 770-794-6652

Sabrina L Clark, DO - Medicare Pediatrics in Kennesaw, GA