Ms Chelsey Clark, PA-C, RDN, CDCES,CLC is a medicare enrolled "Physician Assistant" in Big Timber, Montana. Her current practice location is
701 Stock St, Big Timber, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 932-4199.
Ms Chelsey Clark is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699172049.
Provider's Profile
| Full Name | Ms Chelsey Clark |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 701 Stock St, Big Timber, Montana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699172049
- Provider Enumeration Date: 12/01/2014
- Last Update Date: 11/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961726070
- Enrollment ID: I20150121000314
Medical Identifiers
Medical identifiers for Ms Chelsey Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699172049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 133V00000X | Dietitian, Registered | 21049 (Montana) | Secondary |
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. Ms Chelsey Clark allows following entities to bill medicare on her behalf.
| Entity Name | Livingston Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245222306
PECOS PAC ID: 5991613598
Enrollment ID: O20031122000111 |
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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. Ms Chelsey 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 |
|---|
Ms Chelsey Clark, PA-C, RDN, CDCES,CLC
301 W 7th Ave,
Big Timber, MT 59011-7695
Ph: (406) 932-4603 | Ms Chelsey Clark, PA-C, RDN, CDCES,CLC
701 Stock St,
Big Timber, MT 59011-8071
Ph: (406) 932-4199 |
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