Scott T Clarke, PA is a medicare enrolled "Physician Assistant" physician in Atlanta, Georgia. His current practice location is
1968 Peachtree Rd Nw, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 367-3014.
Scott T Clarke is licensed to practice in Georgia (license number 5532) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457597221.
Physician's Profile
Full Name | Scott T Clarke |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1968 Peachtree Rd Nw, Atlanta, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457597221
- Provider Enumeration Date: 12/29/2008
- Last Update Date: 07/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042369878
- Enrollment ID: I20090527000179
Medical Identifiers
Medical identifiers for Scott T Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457597221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 5532 (Georgia) | Secondary |
363A00000X | Physician Assistant | 5532 (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. Scott T Clarke 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 |
Scott T Clarke, PA Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Scott T Clarke, PA 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 Ph: (404) 367-3014 |
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