Mr Charles Clark Jr, PT in Louisville, KY - Medicare Physical Therapy Provider

Mr Charles Clark Jr, PT is a medicare enrolled "Physical Therapist" provider in Louisville, Kentucky. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Benchmark Physical Therapy Of Ky Llc, Agilitas Usa Inc, Agilitas Usa Inc and his current practice location is 805 Blankenbaker Pkwy, Suite 107, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 253-0833.

Mr Charles Clark Jr is licensed to practice in Kentucky (license number 003320) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225052210.

Contact Information

	Mr Charles Clark Jr, PT
	805 Blankenbaker Pkwy, Suite 107, Louisville, KY 40243-1894
	(502) 253-0833
	(502) 253-0834

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Charles Clark Jr
Gender	Male
Speciality	Physical Therapy
Experience	27 Years
Location	805 Blankenbaker Pkwy, Louisville, Kentucky
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Charles Clark Jr graduated from medical school in 1997

NPI Data:

NPI Number: 1225052210
Provider Enumeration Date: 07/26/2006
Last Update Date: 08/13/2019

Medicare PECOS Information:

PECOS PAC ID: 2466352695
Enrollment ID: I20040113000015

Medical Identifiers

Medical identifiers for Mr Charles Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225052210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	003320 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Benchmark Physical Therapy Of Ky Llc	0042577579	34
Agilitas Usa Inc	3375454648	634
Agilitas Usa Inc	3375454648	634

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. Mr Charles Clark Jr allows following entities to bill medicare on his behalf.

Provider Name	Agilitas Usa Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130723000589

Provider Name	Benchmark Physical Therapy Of Ky Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1043734221 PECOS PAC ID: 0042577579 Enrollment ID: O20171207003175

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. Mr Charles Clark Jr 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
Mr Charles Clark Jr, PT 800 Crescent Centre Dr Ste 600, Franklin, TN 37067-7286 Ph: (615) 373-1350	Mr Charles Clark Jr, PT 805 Blankenbaker Pkwy, Suite 107, Louisville, KY 40243-1894 Ph: (502) 253-0833

Reviews and Comments

Physical Therapist in Louisville, KY

Seniors Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Lake Forest Parkway, Louisville, KY 40245 Phone: 502-263-9929 Fax: 502-614-8732
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Christian Rae North, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4420 Dixie Hwy, Suite 122, Louisville, KY 40216 Phone: 502-447-2750
Courtney M Nauert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13151 Magisterial Dr Ste 200, Louisville, KY 40223 Phone: 502-587-1236
Alexis Rae Walsh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207 Phone: 502-893-1000

Mr Charles Clark Jr, PT - Medicare Physical Therapist in Louisville, KY