Zachary Clark, MS, RDN, LD in Madisonville, KY - Medicare Dietitian, Registered Provider

Zachary Clark, MS, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Madisonville, Kentucky. His current practice location is 900 Hospital Dr, Madisonville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 543-2666.

Zachary Clark is licensed to practice in Kentucky (license number 163117) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467242255.

Contact Information

	Zachary Clark, MS, RDN, LD
	900 Hospital Dr, Madisonville, KY 42431-1644
	(270) 543-2666
	(270) 543-2666

Map and Direction

Healthcare Provider's Profile

Full Name	Zachary Clark
Gender	Male
Speciality	Dietitian, Registered
Location	900 Hospital Dr, Madisonville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467242255
Provider Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025

Medicare PECOS Information:

PECOS PAC ID: 1557877123
Enrollment ID: I20250721002839

Medical Identifiers

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

Identifier	Type	State	Issuer
1467242255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	163117 (Kentucky)	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. Zachary Clark allows following entities to bill medicare on his behalf.

Provider Name	Baptist Health Deaconess Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437730942 PECOS PAC ID: 6103220330 Enrollment ID: O20210810000993

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. Zachary 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
Zachary Clark, MS, RDN, LD 900 Hospital Dr, Madisonville, KY 42431-1644 Ph: (270) 543-2666	Zachary Clark, MS, RDN, LD 900 Hospital Dr, Madisonville, KY 42431-1644 Ph: (270) 543-2666

Reviews and Comments

Dietitian, Registered in Madisonville, KY

Shea Heady, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5100
Sarah Peoples Trimble, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 412 N Kentucky Ave, Madisonville, KY 42431 Phone: 270-821-5242 Fax: 270-825-0138
Lori Whitnell Spraggs, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-5743 Fax: 270-825-5215
Debra Lynn Pugh, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-871-4910
Pamela D Bryan, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5100
Brittany Hall, RDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1109 W Broadway St, Madisonville, KY 42431 Phone: 270-875-0160 Fax: 270-245-2378

Zachary Clark, MS, RDN, LD - Medicare Dietitian in Madisonville, KY