Eliza Gunn Clark, DPT - Medicare Physical Therapist in American Fork, UT

Eliza Gunn Clark, DPT is a medicare enrolled "Physical Therapist" provider in American Fork, Utah. Her current practice location is 98 N 1100 E Ste 402, American Fork, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 492-2405.

Eliza Gunn Clark is licensed to practice in Connecticut (license number 14032) 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 1376204636.

Contact Information

Eliza Gunn Clark, DPT
98 N 1100 E Ste 402,
American Fork, UT 84003-2951
(801) 492-2405
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameEliza Gunn Clark
GenderFemale
SpecialityPhysical Therapist
Location98 N 1100 E Ste 402, American Fork, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376204636
  • Provider Enumeration Date: 01/07/2022
  • Last Update Date: 08/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597127514
  • Enrollment ID: I20230808002542

Medical Identifiers

Medical identifiers for Eliza Gunn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376204636NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 12615494-2401 (Utah)Secondary
225100000XPhysical Therapist 14032 (Connecticut)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. Eliza Gunn Clark allows following entities to bill medicare on her behalf.
Provider NameAccess Physical Therapy & Wellness Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1659819241
PECOS PAC ID: 8426317595
Enrollment ID: O20180117002504

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. Eliza Gunn 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 AddressPractice Location Address
Eliza Gunn Clark, DPT
758 E 900 N Apt 106,
Provo, UT 84606-2105

Ph: (412) 716-0133
Eliza Gunn Clark, DPT
98 N 1100 E Ste 402,
American Fork, UT 84003-2951

Ph: (801) 492-2405

Reviews and Comments


Physical Therapist in American Fork, UT

Nickolas Arbon,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 358 N 1100 E # 4, American Fork, UT 84003
Phone: 385-304-4446    
Quintin D Warnick, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-763-3520    
Russell Jack Gatenby, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1184 E 80 N, American Fork, UT 84003
Phone: 801-756-7777    
Barbara B Moe, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 169 N 1100 E, American Fork, UT 84003
Phone: 801-472-2622    
Dr. Peter Franklin Fitts, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-855-3300    
Mr. Jesse Adam Craig, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-855-3437    
Mr. Derick J Woolf, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-763-3520    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.