Bethany Clark, PT, DPT in Palm Coast, FL - Medicare Physical Therapist Provider

Bethany Clark, PT, DPT is a medicare enrolled "Physical Therapist" provider in Palm Coast, Florida. Her current practice location is 9 Pine Cone Dr Ste 104b, Palm Coast, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 446-9716.

Bethany Clark is licensed to practice in Florida (license number PT28112) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417296260.

Contact Information

	Bethany Clark, PT, DPT
	9 Pine Cone Dr Ste 104b, Palm Coast, FL 32137-8683
	(386) 446-9716
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bethany Clark
Gender	Female
Speciality	Physical Therapist
Location	9 Pine Cone Dr Ste 104b, Palm Coast, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417296260
Provider Enumeration Date: 02/13/2013
Last Update Date: 04/29/2019

Medicare PECOS Information:

PECOS PAC ID: 5799924981
Enrollment ID: I20130619000445

Medical Identifiers

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

Identifier	Type	State	Issuer
1417296260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT28112 (Florida)	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. Bethany Clark allows following entities to bill medicare on her behalf.

Provider Name	Genesis Health Development Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1033154992 PECOS PAC ID: 4183538614 Enrollment ID: O20140429000503

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. Bethany 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
Bethany Clark, PT, DPT 108 Camden Cay Dr, St Augustine, FL 32086-1814 Ph: (440) 864-5565	Bethany Clark, PT, DPT 9 Pine Cone Dr Ste 104b, Palm Coast, FL 32137-8683 Ph: (386) 446-9716

Reviews and Comments

Physical Therapist in Palm Coast, FL

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Brittney Alexandra Crawford, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5860 E State Highway 100 Unit 100, Palm Coast, FL 32164 Phone: 386-597-1903
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Bethany Clark, PT, DPT - Medicare Physical Therapist in Palm Coast, FL