Stephanie Marie Clark, PT, DPT in Jasper, TN - Medicare Physical Therapy Provider

Stephanie Marie Clark, PT, DPT is a medicare enrolled "Physical Therapist" provider in Jasper, Tennessee. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is 15 Courthouse Sq, Jasper, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 942-8073.

Stephanie Marie Clark is licensed to practice in Tennessee (license number 9932) 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 1770994212.

Contact Information

	Stephanie Marie Clark, PT, DPT
	15 Courthouse Sq, Jasper, TN 37347-3531
	(423) 942-8073
	(423) 942-6660

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Marie Clark
Gender	Female
Speciality	Physical Therapy
Experience	10 Years
Location	15 Courthouse Sq, Jasper, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie Marie Clark graduated from medical school in 2014

NPI Data:

NPI Number: 1770994212
Provider Enumeration Date: 05/19/2014
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3274759923
Enrollment ID: I20180319000740

Medical Identifiers

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

Identifier	Type	State	Issuer
1770994212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT012963 (Georgia)	Secondary
225100000X	Physical Therapist	9932 (Tennessee)	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. Stephanie Marie Clark allows following entities to bill medicare on her behalf.

Provider Name	Premere Rehab Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467767269 PECOS PAC ID: 2567434764 Enrollment ID: O20110105000915

Provider Name	Steph White Clark Dpt Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1548992159 PECOS PAC ID: 0840675294 Enrollment ID: O20220921000995

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. Stephanie Marie 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
Stephanie Marie Clark, PT, DPT 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564 Ph: (423) 238-7217	Stephanie Marie Clark, PT, DPT 15 Courthouse Sq, Jasper, TN 37347-3531 Ph: (423) 942-8073

Reviews and Comments

Physical Therapist in Jasper, TN

Miriam Janice Herstik, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Courthouse Sq, Jasper, TN 37347 Phone: 423-942-8073 Fax: 423-942-6660
Heather Millard, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4150 Main St Ste 101, Jasper, TN 37347 Phone: 423-942-8073 Fax: 423-942-6660
Independent Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4150 Main St Ste 101, Jasper, TN 37347 Phone: 423-942-8073 Fax: 423-942-6660
Mrs. Cindy A Geick, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15 Courthouse Sq, Jasper, TN 37347 Phone: 423-942-8073 Fax: 423-942-6660
Alexis Garduno, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4150 Main St Ste 101, Jasper, TN 37347 Phone: 423-942-8073
Rebekah Lynn Forsythe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Courthouse Square, Jasper, TN 37347 Phone: 423-942-8073 Fax: 423-942-6660
Joshua Dean Stivers, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Courthouse Sq, Jasper, TN 37347 Phone: 423-942-8073 Fax: 423-942-6660

Stephanie Marie Clark, PT, DPT - Medicare Physical Therapist in Jasper, TN