Dr Tanya Lee Clark, OTD, OTR/L is a medicare enrolled "Occupational Therapist" provider in North Grosvenordale, Connecticut. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Outpatient Mobile Solutions, Inc. and her current practice location is
113 Labby Rd, North Grosvenordale, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 497-0239.
Dr Tanya Lee Clark is licensed to practice in Connecticut (license number 4145) 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 1427485192.
Healthcare Provider's Profile
| Full Name | Dr Tanya Lee Clark |
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| Gender | Female |
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| Speciality | Occupational Therapy |
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| Experience | 14 Years |
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| Location | 113 Labby Rd, North Grosvenordale, Connecticut |
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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:
- Dr Tanya Lee Clark graduated from medical school in 2010
NPI Data:
- NPI Number: 1427485192
- Provider Enumeration Date: 09/26/2013
- Last Update Date: 03/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941533871
- Enrollment ID: I20190613001397
Medical Identifiers
Medical identifiers for Dr Tanya Lee Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427485192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 10108 (Massachusetts) | Secondary |
| 225X00000X | Occupational Therapist | 4145 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Outpatient Mobile Solutions, Inc. | 8224361159 | 3 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tanya Lee Clark allows following entities to bill medicare on her behalf.
| Provider Name | Outpatient Mobile Solutions, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114484987
PECOS PAC ID: 8224361159
Enrollment ID: O20190610000437 |
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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. Dr Tanya Lee 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 |
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Dr Tanya Lee Clark, OTD, OTR/L
113 Labby Rd,
North Grosvenordale, CT 06255-1247
Ph: (607) 643-2178 | Dr Tanya Lee Clark, OTD, OTR/L
113 Labby Rd,
North Grosvenordale, CT 06255-1247
Ph: (860) 497-0239 |
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