Mrs Antoinette Sophia Clark, LPN - Licensed Practical Nurse in Georgetown, OH

Mrs Antoinette Sophia Clark, LPN is a Licensed Practical Nurse based in Georgetown, Ohio. Mrs Antoinette Sophia Clark is licensed to practice in Ohio (license number 150730) and her current practice location is 106 N Water St, Georgetown, Ohio. She can be reached at her office (for appointments etc.) via phone at (513) 502-4772.

NPI number for Mrs Antoinette Sophia Clark is 1902089717 and her current mailing address is 106 N Water St, Georgetown, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902089717.

Contact Information

Mrs Antoinette Sophia Clark, LPN
106 N Water St,
Georgetown, OH 45121-1332
(513) 502-4772
Not Available

Map and Direction




Provider's Profile

Full NameMrs Antoinette Sophia Clark
GenderFemale
SpecialityLicensed Practical Nurse
Location106 N Water St, Georgetown, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902089717
  • Provider Enumeration Date: 12/14/2007
  • Last Update Date: 06/08/2014

Medical Identifiers

Medical identifiers for Mrs Antoinette Sophia Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902089717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 150730 (Ohio)Primary

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. Mrs Antoinette Sophia Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Antoinette Sophia Clark, LPN
106 N Water St,
Georgetown, OH 45121-1332

Ph: (513) 502-4772
Mrs Antoinette Sophia Clark, LPN
106 N Water St,
Georgetown, OH 45121-1332

Ph: (513) 502-4772

Reviews and Comments


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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).

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