Rachel Leeann Clark, PA-C is a
Physician Assistant based in Ashwaubenon, Wisconsin. Rachel Leeann Clark is licensed to practice in Wisconsin (license number 8279-23) and her current practice location is
2502 S Ashland Ave, Ashwaubenon, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 496-4700.
NPI number for Rachel Leeann Clark is 1518756949 and her current mailing address is 1505 N Rynders St, Grand Chute, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. 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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Location | 2502 S Ashland Ave, Ashwaubenon, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518756949
- Provider Enumeration Date: 05/02/2025
- Last Update Date: 05/02/2025
Medical Identifiers
Medical identifiers for Rachel Leeann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518756949 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 8279-23 (Wisconsin) | Primary |
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
NOT enrolled with medicare and thus cannot 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 1505 N Rynders St, Grand Chute, WI 54914-1614 Ph: (920) 594-1219 | Rachel Leeann Clark, PA-C 2502 S Ashland Ave, Ashwaubenon, WI 54304-5252 Ph: (920) 496-4700 |
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