Stephanie Clark, PA-C in Bloomington, MN - Medicare Physician Assistant

Stephanie Clark, PA-C is a medicare enrolled "Physician Assistant" in Bloomington, Minnesota. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Pinnacle Dermatology Sc and her current practice location is 7920 Old Cedar Ave S, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 428-1800.

Stephanie Clark is licensed to practice in Minnesota (license number 14465) 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 1427413590.

Contact Information

	Stephanie Clark, PA-C
	7920 Old Cedar Ave S, Bloomington, MN 55425-1207
	(952) 428-1800
	(952) 428-1723

Map and Direction

Provider's Profile

Full Name	Stephanie Clark
Gender	Female
Speciality	Physician Assistant
Experience	11 Years
Location	7920 Old Cedar Ave S, Bloomington, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie Clark attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2015

NPI Data:

NPI Number: 1427413590
Provider Enumeration Date: 12/16/2015
Last Update Date: 12/05/2025

Medicare PECOS Information:

PECOS PAC ID: 3173870714
Enrollment ID: I20230728002213

Medical Identifiers

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

Identifier	Type	State	Issuer
1427413590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	52997 (California)	Secondary
363A00000X	Physician Assistant	14465 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pinnacle Dermatology Sc	8628353380	136

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. Stephanie 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
Stephanie Clark, PA-C 1125 E 17th St Ste W248, Santa Ana, CA 92701-2205 Ph: (714) 547-5151	Stephanie Clark, PA-C 7920 Old Cedar Ave S, Bloomington, MN 55425-1207 Ph: (952) 428-1800

Reviews and Comments

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Stephanie Clark, PA-C - Medicare Physician Assistant in Bloomington, MN