Marisol C Clark, MD - Medicare Family Practice in Georgetown, KY

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Marisol C Clark, MD is a medicare enrolled "Family Medicine" physician in Georgetown, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 2006 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Kentucky Orthopedic Rehabilitation Llc, Empowerme Rehabilitation Kentucky, Llc, New Lexington Clinic Psc and her current practice location is 1138 Lexington Rd Ste 290, Georgetown, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 863-0721.

Marisol C Clark is licensed to practice in Kentucky (license number 49101) 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 1578613030.

Contact Information

Marisol C Clark, MD
1138 Lexington Rd Ste 290,
Georgetown, KY 40324-9672
(502) 863-0721
(502) 863-6104

Map and Direction




Physician's Profile

Full NameMarisol C Clark
GenderFemale
SpecialityFamily Practice
Experience20 Years
Location1138 Lexington Rd Ste 290, Georgetown, Kentucky
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:
  • Marisol C Clark attended and graduated from University Of Louisville School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1578613030
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 08/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850557646
  • Enrollment ID: I20161104000172

Medical Identifiers

Medical identifiers for Marisol C Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578613030NPI-NPPES
7100443440MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine 49101 (Kentucky)Secondary
207Q00000XFamily Medicine 49101 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Georgetown Community HospitalGeorgetown, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kentucky Orthopedic Rehabilitation Llc0345157293680
Empowerme Rehabilitation Kentucky, Llc1850729211168
New Lexington Clinic Psc3476457532291

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. Marisol C Clark allows following entities to bill medicare on her behalf.
Entity NameNew Lexington Clinic Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700803681
PECOS PAC ID: 3476457532
Enrollment ID: O20031121000103
Entity NameKentucky Mso Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164867883
PECOS PAC ID: 0749450633
Enrollment ID: O20110901000380
Entity NameThe Recovery Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316332067
PECOS PAC ID: 7012285497
Enrollment ID: O20170608001733

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. Marisol C 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
Marisol C Clark, MD
1221 S Broadway,
Lexington, KY 40504-2701

Ph: (859) 258-6200		Marisol C Clark, MD
1138 Lexington Rd Ste 290,
Georgetown, KY 40324-9672

Ph: (502) 863-0721

Reviews and Comments


Family Medicine Doctors in Georgetown, KY

Dr. Gus A Bynum, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1154a Lexington Rd, Georgetown, KY 40324
Phone: 502-868-0008    
Makayla Ann Kiser, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 210 Bevins Ln, Suite C, Georgetown, KY 40324
Phone: 502-868-0622    Fax: 502-868-9097
Mrs. Megan Elise Disponett-lee, FNP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 106 Magnolia Dr Ste 200, Georgetown, KY 40324
Phone: 502-868-0806    
Raymond Wechman Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1138 Lexington Rd, Ste 130, Georgetown, KY 40324
Phone: 502-867-0222    Fax: 502-867-0420
Dr. Nova Luna White, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 150 Mount Vernon Dr, Georgetown, KY 40324
Phone: 502-218-1710    Fax: 502-218-1711
Dr. Ivan David Morrin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 210 Bevins Ln, Ste C, Georgetown, KY 40324
Phone: 502-868-0622    Fax: 502-868-9097
Henry R Preston, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1138 Lexington Road Suite 130, Georgetown, KY 40324
Phone: 502-867-0222    Fax: 502-867-0420

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.