Ross Clark, in Lafayette, LA - Medicare Physician Assistant

Ross Clark, is a medicare enrolled "Physician Assistant - Medical" in Lafayette, Louisiana. His current practice location is 1700 Kaliste Saloom Rd, Lafayette, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 981-5085.

Ross Clark is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861197386.

Contact Information

	Ross Clark,
	1700 Kaliste Saloom Rd, Lafayette, LA 70508-6186
	(337) 981-5085
	Not Available

Map and Direction

Provider's Profile

Full Name	Ross Clark
Gender	Male
Speciality	Physician Assistant - Medical
Location	1700 Kaliste Saloom Rd, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861197386
Provider Enumeration Date: 04/03/2023
Last Update Date: 12/29/2023

Medicare PECOS Information:

PECOS PAC ID: 8527412907
Enrollment ID: I20231004001336

Medical Identifiers

Medical identifiers for Ross Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861197386	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	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. Ross 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
Ross Clark, Po Box 363, Maurice, LA 70555-0363 Ph: (337) 501-2807	Ross Clark, 1700 Kaliste Saloom Rd, Lafayette, LA 70508-6186 Ph: (337) 981-5085

Reviews and Comments

Physician Assistant Nurses in Lafayette, LA

Stefanie Hummel Theriot, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Patriot St Ste 101, Lafayette, LA 70508 Phone: 337-981-2125 Fax: 337-981-2174
Kevin Kathleen M Menard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Lafayette, LA 70508 Phone: 337-234-5234
Katie Tso, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 118 Rue Fontaine, Lafayette, LA 70508 Phone: 337-534-8680
Todd A Devalcourt, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4212 W Congress St Ste 3100, Lafayette, LA 70506 Phone: 337-703-3201 Fax: 337-703-3202
Banee Madison, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-561-9100
Ms. Justine Michelle Guerrero, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 901 Wilson St, Lafayette, LA 70503 Phone: 337-456-6523 Fax: 337-456-6521
Mrs. Sarah Lalande Ardoin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000

Ross Clark, - Medicare Physician Assistant in Lafayette, LA