Elizabeth Jane Clark, DDS - Medicare Dentist in Old Lyme, CT

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Elizabeth Jane Clark, DDS is a medicare enrolled "Dentist - General Practice" provider in Old Lyme, Connecticut. Her current practice location is 19 Halls Rd Ste 218, Old Lyme, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 434-7378.

Elizabeth Jane Clark is licensed to practice in Connecticut (license number 009894) 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 1407038128.

Contact Information

Elizabeth Jane Clark, DDS
19 Halls Rd Ste 218,
Old Lyme, CT 06371-1457
(860) 434-7378
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameElizabeth Jane Clark
GenderFemale
SpecialityDentist - General Practice
Location19 Halls Rd Ste 218, Old Lyme, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407038128
  • Provider Enumeration Date: 12/04/2007
  • Last Update Date: 03/09/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4981906955
  • Enrollment ID: I20160107001707

Medical Identifiers

Medical identifiers for Elizabeth Jane Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407038128NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 009894 (Connecticut)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. Elizabeth Jane 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
Elizabeth Jane Clark, DDS
19 Halls Rd Ste 218, Po Box 551,
Old Lyme, CT 06371-1457

Ph: (860) 434-7378		Elizabeth Jane Clark, DDS
19 Halls Rd Ste 218,
Old Lyme, CT 06371-1457

Ph: (860) 434-7378

Reviews and Comments


Dentist in Old Lyme, CT

Dr. Anthony Albert Corrao, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6 Davis Rd W, Old Lyme, CT 06371
Phone: 860-434-5565    Fax: 860-434-5880
Dr. Michael Anthony D'occhio, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6 Davis Rd W, Old Lyme, CT 06371
Phone: 860-434-5565    Fax: 860-434-5880

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.