Mrs Brantriesa Clark, PA-C in Decatur, GA - Medicare Physician Assistant

Mrs Brantriesa Clark, PA-C is a medicare enrolled "Physician Assistant - Medical" in Decatur, Georgia. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Peachtree Immediate Care Fp, Llc and her current practice location is 1829 Lawrenceville Hwy, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 292-8335.

Mrs Brantriesa Clark is licensed to practice in Georgia (license number 7631) 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-C
	1829 Lawrenceville Hwy, Decatur, GA 30033-5728
	(404) 292-8335
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Brantriesa Clark
Gender	Female
Speciality	Physician Assistant
Experience	7 Years
Location	1829 Lawrenceville Hwy, Decatur, 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 graduated from nursing school in 2017

NPI Data:

NPI Number: 1659883684
Provider Enumeration Date: 10/31/2017
Last Update Date: 05/19/2023

Medicare PECOS Information:

PECOS PAC ID: 7911334941
Enrollment ID: I20200303001744

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
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Secondary
363AM0700X	Physician Assistant - Medical	7631 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peachtree Immediate Care Fp, Llc	3274559323	223

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-C 1829 Lawrenceville Hwy, Decatur, GA 30033-5728 Ph: () -	Mrs Brantriesa Clark, PA-C 1829 Lawrenceville Hwy, Decatur, GA 30033-5728 Ph: (404) 292-8335

Reviews and Comments

Physician Assistant Nurses in Decatur, GA

Mr. Ronald Gene Sanders Ii, RONALD SANDERS Physician Assistant Medicare: Medicare Enrolled Practice Location: 4325 Old Lake Dr, Decatur, GA 30034 Phone: 770-843-0929
Ms. Carol T Mcclendon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111
Rhea V Douglas, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1951 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-4600 Fax: 404-320-0987
Allyson Ashton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000
Mrs. Daviea Antoinette Taylor-hicks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 250 N Arcadia Ave, Decatur, GA 30030 Phone: 404-321-6111 Fax: 404-417-2903
Amanda Singh, M.P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2675 N Decatur Rd, Decatur, GA 30033 Phone: 404-299-1678
Theresa Ann Johnson, PHD, MSHSA, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-417-1525

Mrs Brantriesa Clark, PA-C - Medicare Physician Assistant in Decatur, GA