Kristin Clark, MD in Ellicott City, MD - Medicare Family Practice

Kristin Clark, MD is a medicare enrolled "Family Medicine" physician in Ellicott City, Maryland. She went to University Of Maryland School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Privia Care Center Llc, Privia Medical Group Llc and her current practice location is 5018 Dorsey Hall Dr, Suite 104, Ellicott City, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 730-8288.

Kristin Clark is licensed to practice in Maryland (license number D0053966) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1932177508.

Contact Information

	Kristin Clark, MD
	5018 Dorsey Hall Dr, Suite 104, Ellicott City, MD 21042-7855
	(410) 730-8288
	(888) 235-9533

Map and Direction

Physician's Profile

Full Name	Kristin Clark
Gender	Female
Speciality	Family Practice
Experience	28 Years
Location	5018 Dorsey Hall Dr, Ellicott City, Maryland
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristin Clark attended and graduated from University Of Maryland School Of Medicine in 1996

NPI Data:

NPI Number: 1932177508
Provider Enumeration Date: 03/09/2006
Last Update Date: 03/30/2012

Medicare PECOS Information:

PECOS PAC ID: 5294783247
Enrollment ID: I20050106000794

Medical Identifiers

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

Identifier	Type	State	Issuer
1932177508	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	D0053966 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johns Hopkins Hospital, The	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Privia Care Center Llc	3274801139	192
Privia Medical Group Llc	4385682061	1176

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. Kristin Clark allows following entities to bill medicare on her behalf.

Entity Name	Well-being Medical Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467614032 PECOS PAC ID: 3375673825 Enrollment ID: O20100610000554

Entity Name	Privia Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040

Entity Name	Privia Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055

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. Kristin 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
Kristin Clark, MD 5018 Dorsey Hall Dr, Suite 104, Ellicott City, MD 21042-7855 Ph: (410) 730-8288	Kristin Clark, MD 5018 Dorsey Hall Dr, Suite 104, Ellicott City, MD 21042-7855 Ph: (410) 730-8288

Reviews and Comments

Family Medicine Doctors in Ellicott City, MD

Rita Krishan Dhawan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8516 Timber Valley Ct, Ellicott City, MD 21043 Phone: 410-461-8781 Fax: 410-461-8781
Mary Alice Olds, CRNP Family Medicine Medicare: Medicare Enrolled Practice Location: 4775 Ilkley Moor Ln, Ellicott City, MD 21043 Phone: 443-904-2099
Indrayani Mukund Karkhanis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4801 Dorsey Hall Dr, Suite 201, Ellicott City, MD 21042 Phone: 410-997-5191 Fax: 410-997-7957
Bonnie W Catalano, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2850 N Ridge Rd, Suite 103, Ellicott City, MD 21043 Phone: 410-465-8119 Fax: 410-203-2016
Kathleen M York-jordan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 N Ridge Rd Ste 120, Ellicott City, MD 21043 Phone: 410-465-8119 Fax: 410-203-2016
Andres Salazar, Family Medicine Medicare: Medicare Enrolled Practice Location: 3621 Ligon Rd, Ellicott City, MD 21042 Phone: 410-486-1500
Komal Patel, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Centennial Ln, Ellicott City, MD 21042 Phone: 443-776-0765

Kristin Clark, MD - Medicare Family Practice in Ellicott City, MD