Dr Sacha Dariana Clark, MD DDS is a medicare enrolled "Plastic Surgery" provider in Tulsa, Oklahoma. Her current practice location is
7322 E 91st St, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 392-0880.
Dr Sacha Dariana Clark is licensed to practice in Oklahoma (license number 45263) 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 1881258945.
Healthcare Provider's Profile
Full Name | Dr Sacha Dariana Clark |
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Gender | Female |
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Speciality | Plastic Surgery |
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Location | 7322 E 91st St, Tulsa, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881258945
- Provider Enumeration Date: 04/24/2019
- Last Update Date: 06/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 1052647138
- Enrollment ID: I20190726001956
Medical Identifiers
Medical identifiers for Dr Sacha Dariana Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881258945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 25500 (Oklahoma) | Secondary |
208200000X | Plastic Surgery | 45263 (Oklahoma) | 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 Sacha Dariana 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 Sacha Dariana Clark, MD DDS 7322 E 91st St, Tulsa, OK 74133-6016 Ph: (918) 392-0880 | Dr Sacha Dariana Clark, MD DDS 7322 E 91st St, Tulsa, OK 74133-6016 Ph: (918) 392-0880 |
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