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 Po Box 19070, Green Bay, 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 |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 2502 S Ashland Ave, Ashwaubenon, Wisconsin |
|---|
| 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: 08/01/2025
Medical Identifiers
Medical identifiers for Rachel Leeann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518756949 | NPI | - | NPPES |
| 100327604 | Medicaid | WI | |
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
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 |
Reviews and Comments