S Kathleen Clark, MD in Murfreesboro, TN

S Kathleen Clark, MD is a medicare enrolled "Dermatology" physician in Murfreesboro, Tennessee. Her current practice location is 1132 Dow St, Murfreesboro, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 896-2617.

S Kathleen Clark is licensed to practice in Tennessee (license number MD0000015766) 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 1174608137.

Contact Information

	S Kathleen Clark, MD
	1132 Dow St, Murfreesboro, TN 37130-2486
	(615) 896-2617
	Not Available

Map and Direction

Physician's Profile

Full Name	S Kathleen Clark
Gender	Female
Speciality	Dermatology
Location	1132 Dow St, Murfreesboro, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174608137
Provider Enumeration Date: 10/26/2006
Last Update Date: 01/22/2019

Medicare PECOS Information:

PECOS PAC ID: 3577751502
Enrollment ID: I20101217000239

Medical Identifiers

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

Identifier	Type	State	Issuer
1174608137	NPI	-	NPPES
0018534	Other	TN	TENNESSEE BLUE CROSS BLUE
3032646	Medicaid	TN
110025193	Other	TN	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	MD0000015766 (Tennessee)	Secondary
207N00000X	Dermatology	MD0000015766 (Tennessee)	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. S Kathleen 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
S Kathleen Clark, MD 135 Cherry Ln, Murfreesboro, TN 37130-3935 Ph: (615) 896-2617	S Kathleen Clark, MD 1132 Dow St, Murfreesboro, TN 37130-2486 Ph: (615) 896-2617

Reviews and Comments

Dermatology Doctors in Murfreesboro, TN

Miss Maria C Arzubiaga, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 3400 Lebanon Rd, Murfreesboro, TN 37129 Phone: 615-893-1360 Fax: 615-867-5788
Andrea Jurgens, MD, MPH Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1725 Medical Center Pkwy Ste 300, Murfreesboro, TN 37129 Phone: 615-893-4100
Dr. Henry King Butler Jr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 515 Highland Terrace, Suite A, Murfreesboro, TN 37130 Phone: 615-890-0827 Fax: 615-890-0828
Dr. Ronald Andrew Nelson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 515 Highland Ter, Suite A, Murfreesboro, TN 37130 Phone: 615-904-2010 Fax: 615-904-6285
Dr. Christopher Brady Bledsoe, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1430 Medical Center Pkwy, Murfreesboro, TN 37129 Phone: 615-893-4480
Dr. Charles Edward Goodman Jr., MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 320 East Main Street, Murfreesboro, TN 37130 Phone: 615-896-5772 Fax: 615-907-7389

S Kathleen Clark, MD - Medicare Dermatology in Murfreesboro, TN