Rachel Leeann Clark, PA-C is a medicare enrolled "Physician Assistant" in Ashwaubenon, Wisconsin. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis and her current practice location is
2502 S Ashland Ave, Ashwaubenon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 496-4700.
Rachel Leeann Clark is licensed to practice in Wisconsin (license number 8279-23) 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 1518756949.
Provider's Profile
| Full Name | Rachel Leeann Clark |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 2502 S Ashland Ave, Ashwaubenon, Wisconsin |
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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:
- Rachel Leeann Clark graduated from nursing school in 2024
NPI Data:
- NPI Number: 1518756949
- Provider Enumeration Date: 05/02/2025
- Last Update Date: 08/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 7416468590
- Enrollment ID: I20250616002598
Medical Identifiers
Medical identifiers for Rachel Leeann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518756949 | NPI | - | NPPES |
| 100327604 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 8279-23 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 567 |
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. Rachel Leeann 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 |
|---|
Rachel Leeann Clark, PA-C
Po Box 19070,
Green Bay, WI 54307-9070
Ph: (920) 496-4700 | Rachel Leeann Clark, PA-C
2502 S Ashland Ave,
Ashwaubenon, WI 54304-5252
Ph: (920) 496-4700 |
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