Mrs Lauren Clark, MS, RD, LD, CNSC in Tyler, TX - Medicare Dietitian, Registered Provider

Mrs Lauren Clark, MS, RD, LD, CNSC is a medicare enrolled "Dietitian, Registered" provider in Tyler, Texas. Her current practice location is 910 E Houston St Ste 320, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 606-4300.

Mrs Lauren Clark is licensed to practice in Texas (license number DT81072) 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 1053032243.

Contact Information

	Mrs Lauren Clark, MS, RD, LD, CNSC
	910 E Houston St Ste 320, Tyler, TX 75702-8369
	(903) 606-4300
	(903) 606-1283

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Lauren Clark
Gender	Female
Speciality	Dietitian, Registered
Location	910 E Houston St Ste 320, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053032243
Provider Enumeration Date: 09/07/2022
Last Update Date: 02/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3870979800
Enrollment ID: I20220928003684

Medical Identifiers

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

Identifier	Type	State	Issuer
1053032243	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1301X	Dietitian, Registered - Nutrition, Oncology	(* (Not Available))	Secondary
133V00000X	Dietitian, Registered	DT81072 (Texas)	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. Mrs Lauren Clark allows following entities to bill medicare on her behalf.

Provider Name	Christus Trinity Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

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 Lauren 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 Lauren Clark, MS, RD, LD, CNSC 910 E Houston St Ste 270, Tyler, TX 75702-8367 Ph: () -	Mrs Lauren Clark, MS, RD, LD, CNSC 910 E Houston St Ste 320, Tyler, TX 75702-8369 Ph: (903) 606-4300

Reviews and Comments

Dietitian, Registered in Tyler, TX

Clarice Michelle Mcdaniels, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 428 Centennial Pkwy, Tyler, TX 75703 Phone: 903-266-5900
Neily Louise Wheeler, LICENSED DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-592-7393 Fax: 903-597-7538
Mary Margaret Roberts, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1120 E Front St, Tyler, TX 75702 Phone: 903-606-3630 Fax: 903-606-3660
Miss Sara Hanson, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1358 E Richards St, Tyler, TX 75702 Phone: 903-531-9455
Jill Coble, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777
Callie Tatman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777

Mrs Lauren Clark, MS, RD, LD, CNSC - Medicare Dietitian in Tyler, TX