Clark Integrated Medical Clinics - Medicare Primary Care in Lafayette, LA

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Clark Integrated Medical Clinics is a medicare enrolled primary clinic (General Practice) in Lafayette, Louisiana. The current practice location for Clark Integrated Medical Clinics is 130 Rue Beauregard Ste A, Lafayette, Louisiana. For appointments, you can reach them via phone at (337) 232-3353. The mailing address for Clark Integrated Medical Clinics is 130 Rue Beauregard Ste A, Lafayette, Louisiana and phone number is (337) 232-3353.

Clark Integrated Medical Clinics is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124529284. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (337) 232-3353.

Contact Information

Clark Integrated Medical Clinics
130 Rue Beauregard Ste A
Lafayette
LA 70508-3130
(337) 232-3353
(337) 232-9304

Map and Direction


Primary Care Clinic Profile

Full NameClark Integrated Medical Clinics
SpecialityGeneral Practice
Location130 Rue Beauregard Ste A, Lafayette, Louisiana
Authorized Official Name and PositionJacob Scott Clark (OWNER)
Authorized Official Contact3372323353
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clark Integrated Medical Clinics
130 Rue Beauregard Ste A
Lafayette
LA 70508-3130

Ph: (337) 232-3353		Clark Integrated Medical Clinics
130 Rue Beauregard Ste A
Lafayette
LA 70508-3130

Ph: (337) 232-3353

NPI Details:

NPI Number1124529284
Provider Enumeration Date02/23/2018
Last Update Date12/09/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8022372598
Medicare Enrollment IDO20180509000736

Medical Identifiers

Medical identifiers for Clark Integrated Medical Clinics such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124529284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Clark Integrated Medical Clinics acts as a billing entity for following providers:
Provider NameJacob S Clark
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1003864620
PECOS PAC ID: 0648171371
Enrollment ID: I20040116000045
Provider NameBrad A Boudreaux
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811076995
PECOS PAC ID: 6800998105
Enrollment ID: I20070216000121
Provider NameJake M Gary
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1033400585
PECOS PAC ID: 0648448357
Enrollment ID: I20110725000580
Provider NameMatthew C Smith
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1588074272
PECOS PAC ID: 2365669892
Enrollment ID: I20140807000377
Provider NameKayla H Kenney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992204416
PECOS PAC ID: 3274898762
Enrollment ID: I20180605000125
Provider NameKris Frankenberg
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1194800730
PECOS PAC ID: 0143111351
Enrollment ID: I20190115000828
Provider NameJoshua C. Couvillon
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1235673864
PECOS PAC ID: 8426318247
Enrollment ID: I20190424001722
Provider NameDominque S Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821419599
PECOS PAC ID: 1759702681
Enrollment ID: I20200602001305
Provider NameAmy Weatherford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184240608
PECOS PAC ID: 1759707789
Enrollment ID: I20200820001836
Provider NameRobert John Sherman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912302886
PECOS PAC ID: 4486072626
Enrollment ID: I20200921000500
Provider NameAustin G Monceaux
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1104459387
PECOS PAC ID: 0345654802
Enrollment ID: I20210126000036

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.