Lauren Rachel Clark, PA-C is a medicare enrolled "Physician Assistant" physician in Dallas, Texas. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Bloom Gynecology, Llc and her current practice location is
2821 Routh St, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 296-0269.
Lauren Rachel Clark is licensed to practice in Texas (license number PA15281) 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 1629606736.
Physician's Profile
| Full Name | Lauren Rachel Clark |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 2821 Routh St, Dallas, Texas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lauren Rachel Clark graduated from medical school in 2020
NPI Data:
- NPI Number: 1629606736
- Provider Enumeration Date: 04/01/2020
- Last Update Date: 08/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810392172
- Enrollment ID: I20220429002198
Medical Identifiers
Medical identifiers for Lauren Rachel Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629606736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | PA15281 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA15281 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bloom Gynecology, Llc | 6901218437 | 2 |
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. Lauren Rachel 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 |
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Lauren Rachel Clark, PA-C
2030 Jamaica Way,
Punta Gorda, FL 33950-5181
Ph: () - | Lauren Rachel Clark, PA-C
2821 Routh St,
Dallas, TX 75201-1414
Ph: (214) 296-0269 |
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