Dr Stephanie Donoso Clark, MD - Medicare Family Practice in Leesburg, FL

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Dr Stephanie Donoso Clark, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Leesburg, Florida. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Curelogics Wound Care And Hyperbaric Llc and her current practice location is 1414 E Main St Ste 2, Leesburg, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 775-2055.

Dr Stephanie Donoso Clark is licensed to practice in Florida (license number ME165643) 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 1487276614.

Contact Information

Dr Stephanie Donoso Clark, MD
1414 E Main St Ste 2,
Leesburg, FL 34748-5399
(352) 775-2055
(352) 901-6954

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Physician's Profile

Full NameDr Stephanie Donoso Clark
GenderFemale
SpecialityFamily Practice
Experience7 Years
Location1414 E Main St Ste 2, Leesburg, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Stephanie Donoso Clark graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1487276614
  • Provider Enumeration Date: 05/11/2020
  • Last Update Date: 02/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7810310695
  • Enrollment ID: I20231122000039

Medical Identifiers

Medical identifiers for Dr Stephanie Donoso Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487276614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME165643 (Florida)Secondary
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine ME165643 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Angels Care Home HealthClermont, FLHome health agency
Pinnacle Home Care Of The Villages IncFruitland park, FLHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Curelogics Wound Care And Hyperbaric Llc88203358543

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. Dr Stephanie Donoso Clark allows following entities to bill medicare on her behalf.
Entity NameHospital Physician Services Of Florida Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558718635
PECOS PAC ID: 7012201965
Enrollment ID: O20160816000476
Entity NameHni Medical Services Of Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679048284
PECOS PAC ID: 7517202112
Enrollment ID: O20190102000426
Entity NameCurelogics Wound Care And Hyperbaric Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962977165
PECOS PAC ID: 8820335854
Enrollment ID: O20190129000912
Entity NameHni Hospital Services Of Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144851411
PECOS PAC ID: 0244661353
Enrollment ID: O20200505001799

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. Dr Stephanie Donoso 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 AddressPractice Location Address
Dr Stephanie Donoso Clark, MD
1414 E Main St Ste 2,
Leesburg, FL 34748-5399

Ph: (352) 775-2055		Dr Stephanie Donoso Clark, MD
1414 E Main St Ste 2,
Leesburg, FL 34748-5399

Ph: (352) 775-2055

Reviews and Comments


Preventive Medicine Doctors in Leesburg, FL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.