Mr Chad Alan Clark, MSPT in Pueblo, CO - Medicare Physical Therapy Provider

Mr Chad Alan Clark, MSPT is a medicare enrolled "Physical Therapist" provider in Pueblo, Colorado. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Physical Therapy Connections, Pc and his current practice location is 58 Glenroyal Dr, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 565-6678.

Mr Chad Alan Clark is licensed to practice in Colorado (license number 5835) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083617906.

Contact Information

	Mr Chad Alan Clark, MSPT
	58 Glenroyal Dr, Pueblo, CO 81005-2174
	(719) 565-6678
	(719) 561-0577

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Chad Alan Clark
Gender	Male
Speciality	Physical Therapy
Experience	28 Years
Location	58 Glenroyal Dr, Pueblo, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Chad Alan Clark graduated from medical school in 1996

NPI Data:

NPI Number: 1083617906
Provider Enumeration Date: 05/24/2005
Last Update Date: 09/01/2011

Medicare PECOS Information:

PECOS PAC ID: 9436196268
Enrollment ID: I20050413000907

Medical Identifiers

Medical identifiers for Mr Chad Alan Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083617906	NPI	-	NPPES
36630233	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5835 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physical Therapy Connections, Pc	7719924539	3

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. Mr Chad Alan Clark allows following entities to bill medicare on his behalf.

Provider Name	Physical Therapy Connections, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174642045 PECOS PAC ID: 7719924539 Enrollment ID: O20050413000836

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. Mr Chad Alan 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
Mr Chad Alan Clark, MSPT 58 Glenroyal Dr, Pueblo, CO 81005-2174 Ph: (719) 565-6678	Mr Chad Alan Clark, MSPT 58 Glenroyal Dr, Pueblo, CO 81005-2174 Ph: (719) 565-6678

Reviews and Comments

Physical Therapist in Pueblo, CO

Karen Bishop, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4112 Outlook Blvd, Ste 96, Pueblo, CO 81008 Phone: 719-266-1788 Fax: 719-776-4700
Michelle Perse, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4115 Club Manor Drive, Pueblo, CO 81008 Phone: 719-568-9790
Dane M Farnworth, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3525 Spaulding Ave, Pueblo, CO 81008 Phone: 719-542-4444 Fax: 719-543-1990
Kelsey Laine Mcclure, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Fortino Blvd, Pueblo, CO 81008 Phone: 719-696-7799
Cydne Rossi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1275 W Pueblo Blvd, Pueblo, CO 81004 Phone: 719-542-0589
Todd S Chilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 387 E Enterprise Dr Ste 160, Pueblo, CO 81007 Phone: 719-924-8912 Fax: 719-696-9115
Mary Margaret Whelan Leffert, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1209 Paseo Del Norte Ste 3, Pueblo, CO 81008 Phone: 719-569-5691 Fax: 719-569-5689

Mr Chad Alan Clark, MSPT - Medicare Physical Therapist in Pueblo, CO