Mary-katherine Clark, is a medicare enrolled "Physical Therapist" provider in New Haven, Vermont. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Addison County Home Healthand Hospice, Inc and her current practice location is
254 Ethan Allen Hwy, New Haven, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 388-7259.
Mary-katherine Clark is licensed to practice in Vermont (license number 040.0134346) 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 1487310934.
Healthcare Provider's Profile
| Full Name | Mary-katherine Clark |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 4 Years |
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| Location | 254 Ethan Allen Hwy, New Haven, Vermont |
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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:
- Mary-katherine Clark graduated from medical school in 2021
NPI Data:
- NPI Number: 1487310934
- Provider Enumeration Date: 11/09/2021
- Last Update Date: 11/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 5193165280
- Enrollment ID: I20240507001540
Medical Identifiers
Medical identifiers for Mary-katherine Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487310934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 040.0134346 (Vermont) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Addison County Home Healthand Hospice, Inc | 4587983374 | 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. Mary-katherine Clark allows following entities to bill medicare on her behalf.
| Provider Name | Addison County Home Health& Hospice, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609648146
PECOS PAC ID: 4587983374
Enrollment ID: O20240415000297 |
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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. Mary-katherine 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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Mary-katherine Clark,
Po Box 754,
Middlebury, VT 05753-0754
Ph: () - | Mary-katherine Clark,
254 Ethan Allen Hwy,
New Haven, VT 05472-1045
Ph: (802) 388-7259 |
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