Edith Clark, DPM is a medicare enrolled "Podiatrist" provider in Clare, Michigan. She went to William M. Scholl College Of Podiatric Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Edith Clark Dpm Pllc and her current practice location is
125 Dwyer St, Clare, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 386-9721.
Edith Clark is licensed to practice in Michigan (license number EC001742) 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 1770559528.
Healthcare Provider's Profile
| Full Name | Edith Clark |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 31 Years |
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| Location | 125 Dwyer St, Clare, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Edith Clark attended and graduated from William M. Scholl College Of Podiatric Medicine in 1993
NPI Data:
- NPI Number: 1770559528
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 06/10/2010
Medicare PECOS Information:
- PECOS PAC ID: 2567448483
- Enrollment ID: I20040630000296
Medical Identifiers
Medical identifiers for Edith Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770559528 | NPI | - | NPPES |
| 4613888 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | EC001742 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Edith Clark Dpm Pllc | 0547246464 | 2 |
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. Edith Clark allows following entities to bill medicare on her behalf.
| Provider Name | Edith Clark Dpm Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1023174273
PECOS PAC ID: 0547246464
Enrollment ID: O20040629001286 |
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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. Edith 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 |
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Edith Clark, DPM
4310 Leonard St Nw, Suite 103,
Walker, MI 49534-8447
Ph: (616) 453-6329 | Edith Clark, DPM
125 Dwyer St,
Clare, MI 48617-1002
Ph: (989) 386-9721 |
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