Rachael Ann Clark, in Columbia, TN

Rachael Ann Clark, is a medicare enrolled "Surgery" physician in Columbia, Tennessee. Her current practice location is 1708 Alpine Dr, Columbia, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 283-6629.

Rachael Ann Clark is licensed to practice in Tennessee (license number 75066) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598128290.

Contact Information

	Rachael Ann Clark,
	1708 Alpine Dr, Columbia, TN 38401-3561
	(931) 283-6629
	(605) 309-8035

Map and Direction

Physician's Profile

Full Name	Rachael Ann Clark
Gender	Female
Speciality	Surgery
Location	1708 Alpine Dr, Columbia, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598128290
Provider Enumeration Date: 03/30/2016
Last Update Date: 09/23/2025

Medicare PECOS Information:

PECOS PAC ID: 7618415423
Enrollment ID: I20240812002120

Medical Identifiers

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

Identifier	Type	State	Issuer
1598128290	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD2024-0735 (New Mexico)	Secondary
208600000X	Surgery	75066 (Tennessee)	Primary

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. Rachael Ann Clark allows following entities to bill medicare on her behalf.

Entity Name	Cibola General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780677039 PECOS PAC ID: 7113935891 Enrollment ID: O20060323000127

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. Rachael Ann 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
Rachael Ann Clark, 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018	Rachael Ann Clark, 1708 Alpine Dr, Columbia, TN 38401-3561 Ph: (931) 283-6629

Reviews and Comments

Surgery Doctors in Columbia, TN

Carly Beth Young, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1708 Alpine Dr, Columbia, TN 38401 Phone: 931-283-6629
Ariel Christine O'neil, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1708 Alpine Dr, Columbia, TN 38401 Phone: 931-283-6629 Fax: 605-309-8035
Dr. John P Brown, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1222 Trotwood Ave, Suite 603, Columbia, TN 38401 Phone: 931-381-9338 Fax: 931-381-9266
Dr. Amy Elizabeth Vertrees, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1708 Alpine Dr, Columbia, TN 38401 Phone: 931-283-6629
Dr. Kenneth Dwayne Fulks, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1601 Hatcher Ln, Columbia, TN 38401 Phone: 931-381-2802 Fax: 931-388-0719
Daniel Davidson Oxley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 832 Westover Dr Ste 200, Columbia, TN 38401 Phone: 931-380-3033
Dr. John Brian Kendrick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 832 Westover Dr Ste 200, Columbia, TN 38401 Phone: 931-380-3033

Rachael Ann Clark, - Medicare Surgery in Columbia, TN