Mrs Sandra A Clark, DC in La Porte, IN - Medicare Chiropractor Provider

Mrs Sandra A Clark, DC is a medicare enrolled "Chiropractor" provider in La Porte, Indiana. Her current practice location is 6646 W Johnson Rd, La Porte, Indiana. You can reach out to her office (for appointments etc.) via phone at (866) 932-9630.

Mrs Sandra A Clark is licensed to practice in Indiana (license number 08002710A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861423527.

Contact Information

	Mrs Sandra A Clark, DC
	6646 W Johnson Rd, La Porte, IN 46350-8243
	(866) 932-9630
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Sandra A Clark
Gender	Female
Speciality	Chiropractor
Location	6646 W Johnson Rd, La Porte, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861423527
Provider Enumeration Date: 07/05/2006
Last Update Date: 01/13/2014

Medicare PECOS Information:

PECOS PAC ID: 8325042435
Enrollment ID: I20140314001951

Medical Identifiers

Medical identifiers for Mrs Sandra A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861423527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	08002710A (Indiana)	Primary
111NP0017X	Chiropractor - Pediatric Chiropractor	08002710A (Indiana)	Secondary

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. Mrs Sandra A Clark allows following entities to bill medicare on her behalf.

Provider Name	Clarks Family Chiropractic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841613718 PECOS PAC ID: 5890926828 Enrollment ID: O20140314001950

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. Mrs Sandra 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
Mrs Sandra A Clark, DC 6646 W Johnson Rd, La Porte, IN 46350-8243 Ph: (866) 932-9630	Mrs Sandra A Clark, DC 6646 W Johnson Rd, La Porte, IN 46350-8243 Ph: (866) 932-9630

Reviews and Comments

Chiropractor in La Porte, IN

Mrs. Shanna Gail Dudash, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1108 Indiana Ave, La Porte, IN 46350 Phone: 219-362-5433 Fax: 219-362-0027
Dr. Matthew Blackmon, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 204 Legacy Plz W, La Porte, IN 46350 Phone: 219-476-7246 Fax: 219-476-1713
Grant Chiropractic Clinic, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 451 Pine Lake Ave, La Porte, IN 46350 Phone: 219-362-3766 Fax: 219-325-8715
Dr. Mark Charles Grant, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 451 Pine Lake Ave, La Porte, IN 46350 Phone: 219-362-3766
Dr. Timothy Joseph Gurrola, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1405 E Lincolnway, Suite A, La Porte, IN 46350 Phone: 219-325-3069 Fax: 219-362-0015
Rassel Family Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1108 Indiana Ave, La Porte, IN 46350 Phone: 219-362-5433
Clark's Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 6646 W Johnson Rd, La Porte, IN 46350 Phone: 866-932-9630

Mrs Sandra A Clark, DC - Medicare Chiropractor in La Porte, IN