Mr William A Clark, PT is a medicare enrolled "Physical Therapist" provider in Temple, Pennsylvania. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ati Holdings Llc and his current practice location is
4304 5th Street Hwy Unit 4, Temple, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(484) 220-2912.
Mr William A Clark is licensed to practice in Pennsylvania (license number PT001501E) 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 1205837747.
Healthcare Provider's Profile
| Full Name | Mr William A Clark |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 38 Years |
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| Location | 4304 5th Street Hwy Unit 4, Temple, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr William A Clark graduated from medical school in 1986
NPI Data:
- NPI Number: 1205837747
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 07/07/2015
Medicare PECOS Information:
- PECOS PAC ID: 9234264797
- Enrollment ID: I20100412000031
Medical Identifiers
Medical identifiers for Mr William A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205837747 | NPI | - | NPPES |
| 50004079 | Other | PA | CAPITAL BLUE CROSS |
| CL551250 | Other | PA | BLUE SHEILD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT001501E (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ati Holdings Llc | 9537112719 | 375 |
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 William A Clark allows following entities to bill medicare on his behalf.
| Provider Name | Ati Holdings Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1396781050
PECOS PAC ID: 9537112719
Enrollment ID: O20060727000214 |
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| Provider Name | Keystone Orthopaedic Specialists, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1255666012
PECOS PAC ID: 2062547920
Enrollment ID: O20100317000260 |
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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 William A 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 |
|---|
Mr William A Clark, PT
790 Remington Blvd,
Bolingbrook, IL 60440-4909
Ph: () - | Mr William A Clark, PT
4304 5th Street Hwy Unit 4,
Temple, PA 19560-1740
Ph: (484) 220-2912 |
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