Crystal Marie Clark, PA-C - Medicare Physician Assistant in Garner, NC

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Crystal Marie Clark, PA-C is a medicare enrolled "Physician Assistant" in Garner, North Carolina. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mission Health Community Multispecialty Providers Llc and her current practice location is 5156 Nc Highway 42 W, Garner, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 329-5000.

Crystal Marie Clark is licensed to practice in North Carolina (license number 0010-04032) 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 1164760476.

Contact Information

Crystal Marie Clark, PA-C
5156 Nc Highway 42 W,
Garner, NC 27529-8417
(919) 329-5000
(919) 329-5300

Map and Direction




Provider's Profile

Full NameCrystal Marie Clark
GenderFemale
SpecialityPhysician Assistant
Experience14 Years
Location5156 Nc Highway 42 W, Garner, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Crystal Marie Clark graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1164760476
  • Provider Enumeration Date: 01/21/2013
  • Last Update Date: 01/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0840445037
  • Enrollment ID: I20130218000535

Medical Identifiers

Medical identifiers for Crystal Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164760476NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-04032 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Mission Hospital And Asheville Surgery CeAsheville, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mission Health Community Multispecialty Providers Llc9537468574601

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. Crystal Marie Clark allows following entities to bill medicare on her behalf.
Entity NameMission Health Community Multispecialty Providers LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457719130
PECOS PAC ID: 9537468574
Enrollment ID: O20160426001883
Entity NameMH Angel Medical Center, LLLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093284010
PECOS PAC ID: 8022359512
Enrollment ID: O20191114002579
Entity NameMH Transylvania Regional Hospital, LLLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972079127
PECOS PAC ID: 0244571644
Enrollment ID: O20191114002977
Entity NameMH Blue Ridge Medical Center, LLLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720556269
PECOS PAC ID: 2769715671
Enrollment ID: O20191115001609
Entity NameMH Mission Hospital Mcdowell, LLLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225513948
PECOS PAC ID: 0345581856
Enrollment ID: O20191119001720

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. Crystal Marie 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 AddressPractice Location Address
Crystal Marie Clark, PA-C
935 Shotwell Rd, Suite 108,
Clayton, NC 27520-5597

Ph: (919) 550-0821		Crystal Marie Clark, PA-C
5156 Nc Highway 42 W,
Garner, NC 27529-8417

Ph: (919) 329-5000

Reviews and Comments


Physician Assistant Nurses in Garner, NC

Mrs. Erica Michelle Mckearney, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5156 Nc Highway 42 W, Garner, NC 27529
Phone: 919-329-5000    
Mr. Kelsey Daniel Mccleave, LCSW, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 111 Richard Dr, Garner, NC 27529
Phone: 919-510-2573    
Anthony Elijah Locklear Jr., PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 790 Timber Dr, Garner, NC 27529
Phone: 919-779-2883    
Anna Jeanne Ciccolini, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 811 Us 70 Hwy W, Garner, NC 27529
Phone: 919-235-6565    Fax: 919-235-6596
Samantha Jo Stocke, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Waterfield Dr, Garner, NC 27529
Phone: 919-800-4400    Fax: 877-630-9339
Brittany Thompson Wilks, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 811 Us 70 Hwy W, Garner, NC 27529
Phone: 919-235-6565    
Lexi Nicole Geiger, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 501 Health Park Dr Ste 150, Garner, NC 27529
Phone: 919-772-3487    Fax: 919-772-3446

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.