Dr Kent Edward Clark, DC in Leesburg, VA - Medicare Chiropractor Provider

Dr Kent Edward Clark, DC is a medicare enrolled "Chiropractor" provider in Leesburg, Virginia. His current practice location is 15b Loudoun St Sw, Leesburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 779-7909.

Dr Kent Edward Clark is licensed to practice in Virginia (license number 0104-557256) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679857544.

Contact Information

	Dr Kent Edward Clark, DC
	15b Loudoun St Sw, Leesburg, VA 20175-2908
	(703) 779-7909
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kent Edward Clark
Gender	Male
Speciality	Chiropractor
Location	15b Loudoun St Sw, Leesburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679857544
Provider Enumeration Date: 10/10/2011
Last Update Date: 09/14/2015

Medicare PECOS Information:

PECOS PAC ID: 0941454284
Enrollment ID: I20150928001859

Medical Identifiers

Medical identifiers for Dr Kent Edward Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679857544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111NN1001X	Chiropractor - Nutrition	8302 (Arizona)	Secondary
111N00000X	Chiropractor	0104-557256 (Virginia)	Primary

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. Dr Kent Edward 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
Dr Kent Edward Clark, DC 15b Loudoun St Sw, Leesburg, VA 20175-2908 Ph: (703) 779-7909	Dr Kent Edward Clark, DC 15b Loudoun St Sw, Leesburg, VA 20175-2908 Ph: (703) 779-7909

Reviews and Comments

Chiropractor in Leesburg, VA

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Zachariah Leigh Wilson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 36 F Catoctin Circle, Leesburg, VA 20175 Phone: 703-777-4840
Craig P John, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 44035 Riverside Pkwy, 345, Leesburg, VA 20176 Phone: 717-919-1108
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Dr Kent Edward Clark, DC - Medicare Chiropractor in Leesburg, VA