Dr Jacqueline Clark, PT, DPT - Medicare Physical Therapist in Evanston, WY

Dr Jacqueline Clark, PT, DPT is a medicare enrolled "Physical Therapist" provider in Evanston, Wyoming. Her current practice location is 195 Feather Way, Evanston, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 789-0096.

Dr Jacqueline Clark is licensed to practice in * (Not Available) (license number ) 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 1215452958.

Contact Information

Dr Jacqueline Clark, PT, DPT
195 Feather Way,
Evanston, WY 82930-9352
(307) 789-0096
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jacqueline Clark
GenderFemale
Speciality
Experience Years
Location195 Feather Way, Evanston, Wyoming
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacqueline Clark attended and graduated from in
  NPI Data:
  • NPI Number: 1215452958
  • Provider Enumeration Date: 08/03/2017
  • Last Update Date: 04/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Jacqueline Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215452958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (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. Dr Jacqueline 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 AddressPractice Location Address
Dr Jacqueline Clark, PT, DPT
1849 W Anderson St,
Evanston, WY 82930-3148

Ph: () -
Dr Jacqueline Clark, PT, DPT
195 Feather Way,
Evanston, WY 82930-9352

Ph: (307) 789-0096

Reviews and Comments


Physical Therapist in Evanston, WY

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Practice Location: 170 Yellow Creek Rd, Suite D, Evanston, WY 82930
Phone: 307-783-8068    Fax: 307-783-8073
Dr. Matthew Dennis Mitchell, PT, DPT, OCS
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Phone: 307-783-8220    
Wyoming Specialized Physical Therapy Inc.
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Medicare: Medicare Enrolled
Practice Location: 620 W Cheyenne Dr., Evanston, WY 82930
Phone: 307-789-8860    Fax: 307-789-8394

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.