Jennifer P Clark, PA-C is a medicare enrolled "Physician Assistant - Medical" in Breckenridge, Colorado. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Catholic Health Initiatives Colorado and her current practice location is
429 N Park Ave, Breckenridge, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 547-9200.
Jennifer P Clark is licensed to practice in Colorado (license number PA.0003835) 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 1588092167.
Provider's Profile
| Full Name | Jennifer P Clark |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 429 N Park Ave, Breckenridge, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jennifer P Clark graduated from nursing school in 2013
NPI Data:
- NPI Number: 1588092167
- Provider Enumeration Date: 10/17/2013
- Last Update Date: 03/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 8325278443
- Enrollment ID: I20140311000189
Medical Identifiers
Medical identifiers for Jennifer P Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588092167 | NPI | - | NPPES |
| 3583007 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA.0003835 (Colorado) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA.0003835 (Colorado) | Secondary |
| 363A00000X | Physician Assistant | PA.0003835 (Colorado) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Catholic Health Initiatives Colorado | 8022927342 | 1231 |
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. Jennifer P 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 |
|---|
Jennifer P Clark, PA-C
Po Box 800022,
Kansas City, MO 64170-0022
Ph: (800) 953-0104 | Jennifer P Clark, PA-C
429 N Park Ave,
Breckenridge, CO 80424
Ph: (970) 547-9200 |
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