Joshua Nathaniel Clark, is a medicare enrolled "Physician Assistant" in Lake Panasoffkee, Florida. His current practice location is
1882 Cr 431a, Lake Panasoffkee, Florida. You can reach out to his office (for appointments etc.) via phone at
(609) 408-3916.
Joshua Nathaniel Clark is licensed to practice in Florida (license number PA9119484) 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 1639263684.
Provider's Profile
Full Name | Joshua Nathaniel Clark |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1882 Cr 431a, Lake Panasoffkee, Florida |
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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: 1639263684
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 11/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810425816
- Enrollment ID: I20250103001120
Medical Identifiers
Medical identifiers for Joshua Nathaniel Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639263684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA9119484 (Florida) | 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. Joshua Nathaniel 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 |
Joshua Nathaniel Clark, 1882 Cr 431a, Lake Panasoffkee, FL 33538-4620 Ph: (609) 408-3916 | Joshua Nathaniel Clark, 1882 Cr 431a, Lake Panasoffkee, FL 33538-4620 Ph: (609) 408-3916 |
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