Clark Integrated Medical Clinics Llc - Medicare in Lafayette, LA

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Clark Integrated Medical Clinics Llc is a medicare enrolled "General Practice" provider in Lafayette, Louisiana. Their current practice location is 401 E Verot School Rd, Lafayette, Louisiana. You can reach out to their office (for appointments etc.) via phone at (337) 232-3353.

Clark Integrated Medical Clinics Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Clark Integrated Medical Clinics Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1124529284.

Contact Information

Clark Integrated Medical Clinics Llc
401 E Verot School Rd,
Lafayette, LA 70508-3315
(337) 232-3353
(337) 232-9304

Map and Direction




Healthcare Provider's Profile

Full NameClark Integrated Medical Clinics Llc
TypeFacility
SpecialityGeneral Practice
Location401 E Verot School Rd, Lafayette, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124529284
  • Provider Enumeration Date: 02/23/2018
  • Last Update Date: 07/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8022372598
  • Enrollment ID: O20180509000736

Medical Identifiers

Medical identifiers for Clark Integrated Medical Clinics Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124529284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
208D00000XGeneral Practice (* (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. Clark Integrated Medical Clinics Llc acts as a billing entity for following providers:
Provider NameJacob S Clark
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1003864620
PECOS PAC ID: 0648171371
Enrollment ID: I20040116000045
Provider NameBrad A Boudreaux
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811076995
PECOS PAC ID: 6800998105
Enrollment ID: I20070216000121
Provider NameJake M Gary
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1033400585
PECOS PAC ID: 0648448357
Enrollment ID: I20110725000580
Provider NameMatthew C Smith
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1588074272
PECOS PAC ID: 2365669892
Enrollment ID: I20140807000377
Provider NameRyan J Knoll
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1669929188
PECOS PAC ID: 0042599276
Enrollment ID: I20161110002453
Provider NameKris Frankenberg
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1194800730
PECOS PAC ID: 0143111351
Enrollment ID: I20190115000828
Provider NameJoshua C. Couvillon
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1235673864
PECOS PAC ID: 8426318247
Enrollment ID: I20190424001722
Provider NameAmy Weatherford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184240608
PECOS PAC ID: 1759707789
Enrollment ID: I20200820001836
Provider NameKayla N Conway-brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285314559
PECOS PAC ID: 5890159826
Enrollment ID: I20230911000321

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. Clark Integrated Medical Clinics Llc 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
Clark Integrated Medical Clinics Llc
401 E Verot School Rd,
Lafayette, LA 70508-3315

Ph: (337) 232-3353		Clark Integrated Medical Clinics Llc
401 E Verot School Rd,
Lafayette, LA 70508-3315

Ph: (337) 232-3353

Reviews and Comments



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.