Kelli Elizabeth Clark, AUD in Hagerstown, MD - Medicare Qualified Audiologist Provider

Kelli Elizabeth Clark, AUD is a medicare enrolled "Audiologist" provider in Hagerstown, Maryland. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice State Of Maryland Central Payroll Bureau and her current practice location is 1800 Dual Hwy Ste 303, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 739-0400.

Kelli Elizabeth Clark is licensed to practice in Maryland (license number 01521) 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 1255955548.

Contact Information

	Kelli Elizabeth Clark, AUD
	1800 Dual Hwy Ste 303, Hagerstown, MD 21740-6648
	(301) 739-0400
	(301) 739-0402

Map and Direction

Healthcare Provider's Profile

Full Name	Kelli Elizabeth Clark
Gender	Female
Speciality	Qualified Audiologist
Experience	5 Years
Location	1800 Dual Hwy Ste 303, Hagerstown, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelli Elizabeth Clark graduated from medical school in 2020

NPI Data:

NPI Number: 1255955548
Provider Enumeration Date: 06/02/2020
Last Update Date: 06/02/2020

Medicare PECOS Information:

PECOS PAC ID: 3870916331
Enrollment ID: I20200701000674

Medical Identifiers

Medical identifiers for Kelli Elizabeth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255955548	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	01521 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Maryland Central Payroll Bureau	7416859327	26

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. Kelli Elizabeth Clark allows following entities to bill medicare on her behalf.

Provider Name	State Of Maryland Central Payroll Bureau
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1871609545 PECOS PAC ID: 7416859327 Enrollment ID: O20081008000739

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. Kelli Elizabeth 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
Kelli Elizabeth Clark, AUD 1800 Dual Hwy Ste 303, Hagerstown, MD 21740-6648 Ph: (301) 739-0400	Kelli Elizabeth Clark, AUD 1800 Dual Hwy Ste 303, Hagerstown, MD 21740-6648 Ph: (301) 739-0400

Reviews and Comments

Audiologist in Hagerstown, MD

Jennifer Lynn Campbell, M.A., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd, Suite 126, Hagerstown, MD 21742 Phone: 301-714-4375 Fax: 301-714-4399
Mrs. Tracey Frempong, Audiologist Medicare: May Accept Medicare Assignments Practice Location: 11110 Medical Campus Rd Ste 126, Hagerstown, MD 21742 Phone: 301-241-7591
Dr. Virginia Lea Wise, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1800 Dual Hwy Ste 303, Hagerstown, MD 21740 Phone: 301-739-0400 Fax: 301-739-0402
Laura Alaina Sherry, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Dual Hwy Ste A, Hagerstown, MD 21740 Phone: 301-791-1847
Medical Practices Of Antietam Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11110 Medical Campus Rd Ste 250, Hagerstown, MD 21742 Phone: 301-665-4960
Central Audiology Center, Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Dual Hwy, Suite 301, Hagerstown, MD 21740 Phone: 301-739-0400 Fax: 301-739-0402

Kelli Elizabeth Clark, AUD - Medicare Audiologist in Hagerstown, MD