Dr Kent Edward Clark, DC - Medicare Chiropractor in Leesburg, VA

Dr Kent Edward Clark, DC is a medicare enrolled "Chiropractor" provider in Leesburg, Virginia. His current practice location is 15b Loudoun St Sw, Leesburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 779-7909.

Dr Kent Edward Clark is licensed to practice in Virginia (license number 0104-557256) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679857544.

Contact Information

Dr Kent Edward Clark, DC
15b Loudoun St Sw,
Leesburg, VA 20175-2908
(703) 779-7909
Not Available



Healthcare Provider's Profile

Full NameDr Kent Edward Clark
GenderMale
SpecialityChiropractor
Location15b Loudoun St Sw, Leesburg, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679857544
  • Provider Enumeration Date: 10/10/2011
  • Last Update Date: 09/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0941454284
  • Enrollment ID: I20150928001859

Medical Identifiers

Medical identifiers for Dr Kent Edward Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679857544NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111NN1001XChiropractor - Nutrition 8302 (Arizona)Secondary
111N00000XChiropractor 0104-557256 (Virginia)Primary

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. Dr Kent Edward 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 AddressPractice Location Address
Dr Kent Edward Clark, DC
15b Loudoun St Sw,
Leesburg, VA 20175-2908

Ph: (703) 779-7909
Dr Kent Edward Clark, DC
15b Loudoun St Sw,
Leesburg, VA 20175-2908

Ph: (703) 779-7909

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› Verified 9 days ago


Chiropractor in Leesburg, VA

Physicians Health Solutions
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Practice Location: 522 E Market St, Leesburg, VA 20176
Phone: 703-777-2532    Fax: 703-777-8002
K & L Enterprise
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Medicare: Not Enrolled in Medicare
Practice Location: 15b Loudoun St Sw, Leesburg, VA 20175
Phone: 703-779-7909    
Zachariah Leigh Wilson, D.C.
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Phone: 703-777-4840    
Craig P John, DC
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Phone: 717-919-1108    
Belmont Chiropractic Llc
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Practice Location: 44115 Woodridge Pkwy Ste 150, Leesburg, VA 20176
Phone: 571-291-9359    

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