Leslie Clark, PT in Wilmington, NC - Medicare Physical Therapist Provider

Leslie Clark, PT is a medicare enrolled "Physical Therapist" provider in Wilmington, North Carolina. Her current practice location is 2744 S 17th St, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 338-0435.

Leslie Clark is licensed to practice in North Carolina (license number 8282) 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 1154677011.

Contact Information

	Leslie Clark, PT
	2744 S 17th St, Wilmington, NC 28412-6606
	(910) 338-0435
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Leslie Clark
Gender	Female
Speciality	Physical Therapist
Location	2744 S 17th St, Wilmington, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154677011
Provider Enumeration Date: 07/30/2012
Last Update Date: 07/30/2012

Medicare PECOS Information:

PECOS PAC ID: 8527416627
Enrollment ID: I20231130001039

Medical Identifiers

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

Identifier	Type	State	Issuer
1154677011	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	8282 (North Carolina)	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. Leslie Clark allows following entities to bill medicare on her behalf.

Provider Name	North Carolina Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1124626148 PECOS PAC ID: 8921418757 Enrollment ID: O20210119001592

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. Leslie 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
Leslie Clark, PT 7235 Masonboro Sound Rd, Wilmington, NC 28409-2949 Ph: (910) 612-3065	Leslie Clark, PT 2744 S 17th St, Wilmington, NC 28412-6606 Ph: (910) 338-0435

Reviews and Comments

Physical Therapist in Wilmington, NC

Mrs. Sally J. Foster, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5710 Oleander Dr, Suite 210, Wilmington, NC 28403 Phone: 910-398-6301 Fax: 910-398-6305
Jmf Wellness Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4002 1/2 Oleander Dr Ste 102, Wilmington, NC 28403 Phone: 330-518-7219
Healthy Seniors Physical Therapist Medicare: Medicare Enrolled Practice Location: 4829 Carolina Beach Rd Ste 100, Wilmington, NC 28412 Phone: 910-444-0020
Benjamin Allan Muschlitz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5619 Carolina Beach Rd Ste 120, Wilmington, NC 28412 Phone: 910-790-1976
Arielle Skyler Juneau, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2250 Shipyard Blvd Ste 14, Wilmington, NC 28403 Phone: 910-518-9951
Brad Winslow Nolan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3787 Shipyard Blvd, Wilmington, NC 28403 Phone: 910-332-3800 Fax: 910-251-0421
Jessica Haley Boose, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Cabbage Inlet Ln, Wilmington, NC 28409 Phone: 910-670-3564

Leslie Clark, PT - Medicare Physical Therapist in Wilmington, NC