Miss Dora K Clark, PA-C is a medicare enrolled "Physician Assistant" in West Warwick, Rhode Island. She went to Duke University School Of Medicine and graduated in 2006 and has 20 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
207 Quaker Ln, West Warwick, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 828-7110.
Miss Dora K Clark is licensed to practice in Rhode Island (license number PA00430) 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 1760559033.
Provider's Profile
| Full Name | Miss Dora K Clark |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 20 Years |
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| Location | 207 Quaker Ln, West Warwick, Rhode Island |
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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:
- Miss Dora K Clark attended and graduated from Duke University School Of Medicine in 2006
NPI Data:
- NPI Number: 1760559033
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 09/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214036987
- Enrollment ID: I20080512000156
Medical Identifiers
Medical identifiers for Miss Dora K Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760559033 | NPI | - | NPPES |
| P01280388 | Other | RI | RAILROAD MCR |
| 7674984 | Other | RI | AETNA |
| 2509391 | Other | RI | COVENTRY |
| 1760559033 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA00430 (Rhode Island) | Primary |
Medical Facilities Affiliation
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. Miss Dora K Clark allows following entities to bill medicare on her behalf.
| Entity Name | Urologic Specialists of New England LLC |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1811168164
PECOS PAC ID: 4486731577
Enrollment ID: O20080609000317 |
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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. Miss Dora K 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 |
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Miss Dora K Clark, PA-C
207 Quaker Ln Fl 1,
West Warwick, RI 02893-2179
Ph: (401) 828-7110 | Miss Dora K Clark, PA-C
207 Quaker Ln,
West Warwick, RI 02893-2283
Ph: (401) 828-7110 |
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