Mrs Donita J Clark, RD, LD in Fayetteville, AR - Medicare Registered Dietitian Or Nutrition Professional Provider

Mrs Donita J Clark, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Fayetteville, Arkansas. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Washington Regional Medical System and her current practice location is 3 E Appleby Rd Ste 202, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 404-1140.

Mrs Donita J Clark is licensed to practice in Arkansas (license number 831) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750534202.

Contact Information

	Mrs Donita J Clark, RD, LD
	3 E Appleby Rd Ste 202, Fayetteville, AR 72703-4424
	(479) 404-1140
	(479) 404-1141

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Donita J Clark
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	23 Years
Location	3 E Appleby Rd Ste 202, Fayetteville, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Donita J Clark graduated from medical school in 2001

NPI Data:

NPI Number: 1750534202
Provider Enumeration Date: 10/28/2008
Last Update Date: 10/03/2017

Medicare PECOS Information:

PECOS PAC ID: 3476835968
Enrollment ID: I20170118000367

Medical Identifiers

Medical identifiers for Mrs Donita J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750534202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	831 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington Regional Medical System	8820995434	219

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 Donita J Clark allows following entities to bill medicare on her behalf.

Provider Name	Washington Regional Medical System
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326376419 PECOS PAC ID: 8820995434 Enrollment ID: O20100130000001

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 Donita J 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 Donita J Clark, RD, LD Po Box 550, Lowell, AR 72745 Ph: (479) 463-7775	Mrs Donita J Clark, RD, LD 3 E Appleby Rd Ste 202, Fayetteville, AR 72703-4424 Ph: (479) 404-1140

Reviews and Comments

Dietitian, Registered in Fayetteville, AR

Sandi Smith Davis, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2388 N Yorkwood Dr, Fayetteville, AR 72703 Phone: 479-387-0603
Susan Renee Penn, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3017 N Bob Younkin Dr, Fayetteville, AR 72703 Phone: 479-463-4333 Fax: 479-463-2322
Natalie Bules, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 688 E Millsap Rd Ste 100, Fayetteville, AR 72703 Phone: 479-463-3070
Mrs. Lyndsay Myers, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Paul Thomas Brown, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3082 W Jewell Rd Apt 1, Fayetteville, AR 72701 Phone: 501-350-1066
Laura Lynn Carmical, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3715 N Business Dr Ste 202, Fayetteville, AR 72703 Phone: 479-582-0778
Mrs. Mary Amanda Bertalotto, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301

Mrs Donita J Clark, RD, LD - Medicare Dietitian in Fayetteville, AR