Elizabeth Clark, PT, DPT in Benton, AR - Medicare Physical Therapist Provider

Elizabeth Clark, PT, DPT is a medicare enrolled "Physical Therapist" provider in Benton, Arkansas. Her current practice location is 1306 Military Rd Ste 1, Benton, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 481-8930.

Elizabeth Clark is licensed to practice in Maryland (license number 28857) 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 1922508613.

Contact Information

	Elizabeth Clark, PT, DPT
	1306 Military Rd Ste 1, Benton, AR 72015-2732
	(501) 481-8930
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Clark
Gender	Female
Speciality	Physical Therapist
Location	1306 Military Rd Ste 1, Benton, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922508613
Provider Enumeration Date: 02/19/2018
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4688028178
Enrollment ID: I20231003000877

Medical Identifiers

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

Identifier	Type	State	Issuer
1922508613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	28857 (Maryland)	Primary
225100000X	Physical Therapist	PT027442 (Pennsylvania)	Secondary
225100000X	Physical Therapist	PT4428 (Arkansas)	Secondary

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. Elizabeth Clark allows following entities to bill medicare on her behalf.

Provider Name	Maryland Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083340988 PECOS PAC ID: 4284017419 Enrollment ID: O20220819002194

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. Elizabeth 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
Elizabeth Clark, PT, DPT 620 N Buchanan St, Little Rock, AR 72205-3208 Ph: (724) 355-8907	Elizabeth Clark, PT, DPT 1306 Military Rd Ste 1, Benton, AR 72015-2732 Ph: (501) 481-8930

Reviews and Comments

Physical Therapist in Benton, AR

Derick Ray Hampel, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Mcneil St, Benton, AR 72015 Phone: 501-315-0984
Erin Elizabeth Andrews, MS, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5701 Springhill Road, Benton, AR 72015 Phone: 501-653-2255 Fax: 501-653-2257
William Anthony Taylor, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1214 Salem Road, Suite A, Benton, AR 72019 Phone: 501-915-4354
Ms. Kathyrn Elaine Sandusky, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17706 I-30, Ste 3, Benton, AR 72015 Phone: 501-315-4414 Fax: 501-315-3467
Mr. Richard Dale Stevens, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2010 Active Way, Benton, AR 72019 Phone: 501-315-0984
Marla Jo Murphy, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2113 Watts Rd, Benton, AR 72015 Phone: 501-778-4960 Fax: 501-778-4968
Mrs. Carrie Anne Johnson, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1102 W South St, Suite 10, Benton, AR 72015 Phone: 559-202-9637

Elizabeth Clark, PT, DPT - Medicare Physical Therapist in Benton, AR