Lakin Clark, is a medicare enrolled "Dietitian, Registered" provider in Anthony, Kansas. Her current practice location is
485 N Ks Hwy 2, Anthony, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 914-1200.
Lakin Clark is licensed to practice in Kansas (license number ) 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 1346913274.
Healthcare Provider's Profile
| Full Name | Lakin Clark |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 485 N Ks Hwy 2, Anthony, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346913274
- Provider Enumeration Date: 07/27/2021
- Last Update Date: 04/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486042728
- Enrollment ID: I20211019002426
Medical Identifiers
Medical identifiers for Lakin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346913274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (Kansas) | Primary |
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. Lakin Clark allows following entities to bill medicare on her behalf.
| Provider Name | Hospital District No 6 Of Harper County Kansas |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1467427674
PECOS PAC ID: 3779571906
Enrollment ID: O20040505000589 |
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| Provider Name | Clay County Medical Center |
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| Provider Type | Part A Provider - Critical Access Hospital |
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| Provider Identifiers | NPI Number: 1265485817
PECOS PAC ID: 6901959436
Enrollment ID: O20090731000423 |
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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. Lakin 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 |
|---|
Lakin Clark,
485 N Ks Hwy 2,
Anthony, KS 67003-2526
Ph: (620) 914-1200 | Lakin Clark,
485 N Ks Hwy 2,
Anthony, KS 67003-2526
Ph: (620) 914-1200 |
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