Miss Julie Clark, PA is a medicare enrolled "Physician Assistant" in Poteau, Oklahoma. She went to University Of Oklahoma College Of Medicine and graduated in 2006 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Pro-care Family Health Of Oklahoma , Llc and her current practice location is
1013 Dewey Ave, Poteau, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 721-0140.
Miss Julie Clark is licensed to practice in Oklahoma (license number 1528) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1093737439.
Provider's Profile
| Full Name | Miss Julie 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 | 1013 Dewey Ave, Poteau, Oklahoma |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Julie Clark attended and graduated from University Of Oklahoma College Of Medicine in 2006
NPI Data:
- NPI Number: 1093737439
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 05/22/2026
Medicare PECOS Information:
- PECOS PAC ID: 2860496189
- Enrollment ID: I20061007000017
Medical Identifiers
Medical identifiers for Miss Julie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093737439 | NPI | - | NPPES |
| 200089790A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 1528 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pro-care Family Health Of Oklahoma , Llc | 1456603901 | 6 |
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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 Julie 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 Julie Clark, PA
Po Box 1278,
Poteau, OK 74953-1278
Ph: (918) 721-0140 | Miss Julie Clark, PA
1013 Dewey Ave,
Poteau, OK 74953-4409
Ph: (918) 721-0140 |
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