Mrs Patricia A Clark, OD is a medicare enrolled "Optometrist" provider in Longmeadow, Massachusetts. She went to Pennsylvania College Of Optometry and graduated in 1999 and has 26 years of diverse experience with area of expertise as Optometry. Her current practice location is
809 Williams St, Longmeadow, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 567-6450.
Mrs Patricia A Clark is licensed to practice in Massachusetts (license number OPT4613) 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 1134194269.
Healthcare Provider's Profile
| Full Name | Mrs Patricia A Clark |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 26 Years |
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| Location | 809 Williams St, Longmeadow, Massachusetts |
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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. |
Medical Education and Training:
- Mrs Patricia A Clark attended and graduated from Pennsylvania College Of Optometry in 1999
NPI Data:
- NPI Number: 1134194269
- Provider Enumeration Date: 02/22/2006
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062585953
- Enrollment ID: I20080725000327
Medical Identifiers
Medical identifiers for Mrs Patricia A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134194269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | OPT4613 (Massachusetts) | Primary |
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. Mrs Patricia A Clark allows following entities to bill medicare on her behalf.
| Provider Name | Springfield Eye Associates Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609880467 PECOS PAC ID: 0446293542 Enrollment ID: O20050609000608 |
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| Provider Name | Pleasant View Vision Care |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1265252902 PECOS PAC ID: 1052845518 Enrollment ID: O20241107000139 |
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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. Mrs Patricia A 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 |
Mrs Patricia A Clark, OD Po Box 60834, Longmeadow, MA 01116-0834 Ph: (413) 567-6450 | Mrs Patricia A Clark, OD 809 Williams St, Longmeadow, MA 01106-2060 Ph: (413) 567-6450 |
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