| Dr Jennifer Lynn Clark, MD | |
|
4945 Williams Dr, Georgetown, TX 78628-2008 | |
| (512) 819-0500 | |
| Not Available |
| Full Name | Dr Jennifer Lynn Clark |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 4945 Williams Dr, Georgetown, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003876095 | NPI | - | NPPES |
| 8J9873 | Other | TX | BLUE SHIELD |
| 1598815-01 | Medicaid | TX | |
| 1598815-02 | Other | TX | CSHCN |
| P00053006 | Other | TX | RR/MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L6327 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Home Health Group Of Taylor Llc | Taylor, TX | Home health agency |
| Accolade Home Care | Round rock, TX | Home health agency |
| Baylor Scott & White Medical Center - Round Rock | Round rock, TX | Hospital |
| Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
| St David's Medical Center | Austin, TX | Hospital |
| Baylor Scott & White Medical Center- College Stati | College station, TX | Hospital |
| Baylor Scott & White Medical Center Pflugerville | Pflugerville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Scott And White Clinic | 8123923604 | 2276 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Lynn Clark, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-8800 | Dr Jennifer Lynn Clark, MD 4945 Williams Dr, Georgetown, TX 78628-2008 Ph: (512) 819-0500 |
Abhijeet V Koli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr Ste 3308, Georgetown, TX 78626 Phone: 512-869-2566 Fax: 512-869-7434 | |
Anita D'mello, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 512-819-0500 | |
Mr. Elias Victor I Impens, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 254-724-2111 | |
Robert F Denyer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr, Ste 3308, Georgetown, TX 78626 Phone: 512-869-2566 Fax: 512-869-7434 | |
Lori L Palazzo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 10 Spring St, Suite 102, Georgetown, TX 78626 Phone: 512-863-3343 Fax: 512-869-4978 | |
Mithula Rao Gopalam, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 512-819-0500 Fax: 512-819-0520 |