Mrs Brantriesa Clark, PA in Covington, GA

Mrs Brantriesa Clark, PA - Medicare in Covington, GA

Mrs Brantriesa Clark, PA is a medicare enrolled "Physician Assistant" physician in Covington, Georgia. Her current practice location is 4181 Hospital Dr Ne Ste 205, Covington, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 342-8677.

Mrs Brantriesa Clark is licensed to practice in Georgia (license number 8587) 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 1659883684.

Contact Information

	Mrs Brantriesa Clark, PA
	4181 Hospital Dr Ne Ste 205, Covington, GA 30014-2541
	(678) 342-8677
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Brantriesa Clark
Gender	Female
Speciality
Experience	Years
Location	4181 Hospital Dr Ne Ste 205, Covington, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Brantriesa Clark attended and graduated from in

NPI Data:

NPI Number: 1659883684
Provider Enumeration Date: 10/31/2017
Last Update Date: 06/19/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

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

Identifier	Type	State	Issuer
1659883684	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	8587 (Georgia)	Secondary
363A00000X	Physician Assistant	8587 (Georgia)	Primary

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. Mrs Brantriesa 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
Mrs Brantriesa Clark, PA 1829 Lawrenceville Hwy, Decatur, GA 30033-5728 Ph: () -	Mrs Brantriesa Clark, PA 4181 Hospital Dr Ne Ste 205, Covington, GA 30014-2541 Ph: (678) 342-8677