Christina Clark, PAC is a medicare enrolled "Physician Assistant" in Harrodsburg, Kentucky. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Baptist Health Medical Group Inc and her current practice location is
1509 Louisville Rd, Harrodsburg, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 239-2379.
Christina Clark is licensed to practice in Kentucky (license number PA482) 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 1679656953.
Provider's Profile
| Full Name | Christina Clark |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 25 Years |
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| Location | 1509 Louisville Rd, Harrodsburg, Kentucky |
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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. |
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Medical Education and Training:
- Christina Clark graduated from nursing school in 1999
NPI Data:
- NPI Number: 1679656953
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 12/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 8022162163
- Enrollment ID: I20180925002783
Medical Identifiers
Medical identifiers for Christina Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679656953 | NPI | - | NPPES |
| 95000741 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA482 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Baptist Health Medical Group Inc | 5597867184 | 1912 |
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. Christina 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 |
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Christina Clark, PAC
Po Box 990,
Danville, KY 40423-0990
Ph: (859) 239-2379 | Christina Clark, PAC
1509 Louisville Rd,
Harrodsburg, KY 40330-8622
Ph: (859) 239-2379 |
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