| Hannah Clark, PA-C | |
|
2217 Decatur Hwy, Gardendale, AL 35071-2301 | |
| (205) 418-1200 | |
| Not Available |
| Full Name | Hannah Clark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 2217 Decatur Hwy, Gardendale, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780008649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00201 (Mississippi) | Secondary |
| 363A00000X | Physician Assistant | PA.1056 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vincentian Physician Services Llc | 1557548161 | 81 |
| Entity Name | Vincentian Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851698310 PECOS PAC ID: 1557548161 Enrollment ID: O20110608000452 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Clark, PA-C 2217 Decatur Hwy, Gardendale, AL 35071-2301 Ph: Not Available | Hannah Clark, PA-C 2217 Decatur Hwy, Gardendale, AL 35071-2301 Ph: (205) 418-1200 |
Mitchell G Jones, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 960 Rocket Way, Gardendale, AL 35071 Phone: 205-631-3452 |
Katelyn Fortenbery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 Fieldstown Rd Ste 124, Gardendale, AL 35071 Phone: 334-288-7808 |
Catherine Poche Hantz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 960 Rocket Way, Gardendale, AL 35071 Phone: 205-934-4011 |
Katherine Grace Poe, Physician Assistant Medicare: Medicare Enrolled Practice Location: 960 Rocket Way, Gardendale, AL 35071 Phone: 205-263-0952 |
Kierra Paige Storms, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 960 Rocket Way, Gardendale, AL 35071 Phone: 205-631-3452 |
Candace D Boyd, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 960 Rocket Way, Gardendale, AL 35071 Phone: 205-631-3452 |