Kristen J Clark, PA - Medicare Physician Assistant in Winter Park, FL

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Kristen J Clark, PA is a medicare enrolled "Physician Assistant" in Winter Park, Florida. She graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice The Ear Nose And Throat Surgical Associates Pa and her current practice location is 133 Benmore Dr Ste 100, Winter Park, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 644-4483.

Kristen J Clark is licensed to practice in Georgia (license number 004548) 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 1578527545.

Contact Information

Kristen J Clark, PA
133 Benmore Dr Ste 100,
Winter Park, FL 32792-4111
(407) 644-4483
(407) 644-3697

Map and Direction




Provider's Profile

Full NameKristen J Clark
GenderFemale
SpecialityPhysician Assistant
Experience21 Years
Location133 Benmore Dr Ste 100, Winter Park, Florida
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:
  • Kristen J Clark graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1578527545
  • Provider Enumeration Date: 04/14/2006
  • Last Update Date: 11/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355371725
  • Enrollment ID: I20090626000522

Medical Identifiers

Medical identifiers for Kristen J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578527545NPI-NPPES
613657510AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 004548 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth OrlandoOrlando, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Ear Nose And Throat Surgical Associates Pa246643792649

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. Kristen J Clark allows following entities to bill medicare on her behalf.
Entity NameEmergency Physicians of Central Florida LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326033341
PECOS PAC ID: 1850296567
Enrollment ID: O20031205000109
Entity NameFlorida Emergency Physicians Kang and Associates MD LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811983752
PECOS PAC ID: 0143113878
Enrollment ID: O20040205000687
Entity NameThe Ear Nose and Throat Surgical Associates PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114905148
PECOS PAC ID: 2466437926
Enrollment ID: O20040621000545

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. Kristen J 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
Kristen J Clark, PA
133 Benmore Dr Ste 100,
Winter Park, FL 32792-4111

Ph: (407) 644-4883		Kristen J Clark, PA
133 Benmore Dr Ste 100,
Winter Park, FL 32792-4111

Ph: (407) 644-4483

Reviews and Comments


Physician Assistant Nurses in Winter Park, FL

Mrs. Shamim A Hasan, PA-C
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Phone: 407-845-8356    
Mrs. Danielle Fay Thompson, PA-C
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Miss Lindsey Mack, PA-C
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Mr. Victor Dorian Barnard, PA-C
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Medicare: Medicare Enrolled
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Phone: 407-647-2287    Fax: 407-643-2801
Lucine Humes, PA-C
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Mrs. Lynn J Kugler-clark, PA-C
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Medicare: Not Enrolled in Medicare
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Phone: 407-629-8121    Fax: 407-629-7250
Ms. Nishla Sobers, PA C
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Practice Location: 1950 Lee Rd, Ste 105, Winter Park, FL 32789
Phone: 407-647-2346    Fax: 407-647-5431

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.