Prof Jackie Leah Clark, PHD - Medicare Audiologist in Tool, TX

Prof Jackie Leah Clark, PHD is a medicare enrolled "Audiologist" provider in Tool, Texas. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Qualified Audiologist. Her current practice location is 601 S Tool Dr, Tool, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 432-1932.

Prof Jackie Leah Clark is licensed to practice in * (Not Available) (license number ) 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 1417951484.

Contact Information

Prof Jackie Leah Clark, PHD
601 S Tool Dr,
Tool, TX 75143-1959
(903) 432-1932
(903) 432-0520

Map and Direction




Healthcare Provider's Profile

Full NameProf Jackie Leah Clark
GenderFemale
SpecialityQualified Audiologist
Experience29 Years
Location601 S Tool Dr, Tool, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Prof Jackie Leah Clark graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1417951484
  • Provider Enumeration Date: 06/08/2005
  • Last Update Date: 10/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7214930627
  • Enrollment ID: I20060824000067

Medical Identifiers

Medical identifiers for Prof Jackie Leah Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417951484NPI-NPPES
66993OtherTXCSHCN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist (* (Not Available))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. Prof Jackie Leah Clark allows following entities to bill medicare on her behalf.
Provider NameUniversity Of Texas At Dallas
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1770559973
PECOS PAC ID: 7810971207
Enrollment ID: O20040614001723
Provider NameCedar Creek Hearing Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1962439257
PECOS PAC ID: 3678576089
Enrollment ID: O20060824000059

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. Prof Jackie Leah 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
Prof Jackie Leah Clark, PHD
5038 Creekwood Dr,
Flower Mound, TX 75028-1913

Ph: (972) 539-8558
Prof Jackie Leah Clark, PHD
601 S Tool Dr,
Tool, TX 75143-1959

Ph: (903) 432-1932

Reviews and Comments


Audiologist in Tool, TX

Dr. Elizabeth Paige Buell, AUD, PHD
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 601 S Tool Dr, Tool, TX 75143
Phone: 903-432-1932    

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.