Jack J. Clark, D.c.p.c. - Medicare Chiropractor in Fort Wayne, IN

Jack J. Clark, D.c.p.c. is a medicare enrolled "Chiropractor" provider in Fort Wayne, Indiana. Their current practice location is 6015 E State Blvd, Fort Wayne, Indiana. You can reach out to their office (for appointments etc.) via phone at (260) 486-1886.

Jack J. Clark, D.c.p.c. is licensed to practice in Indiana (license number 08000717A) and it also participates in the medicare program. Jack J. Clark, D.c.p.c. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1083820302.

Contact Information

Jack J. Clark, D.c.p.c.
6015 E State Blvd,
Fort Wayne, IN 46815-7638
(260) 486-1886
Not Available



Healthcare Provider's Profile

Full NameJack J. Clark, D.c.p.c.
TypeFacility
SpecialityChiropractor
Location6015 E State Blvd, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083820302
  • Provider Enumeration Date: 05/15/2007
  • Last Update Date: 06/27/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3173706231
  • Enrollment ID: O20110328000090

Medical Identifiers

Medical identifiers for Jack J. Clark, D.c.p.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083820302NPI-NPPES
100289660AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 08000717A (Indiana)Primary
111NR0400XChiropractor - Rehabilitation 08002245A (Indiana)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jack J. Clark, D.c.p.c. acts as a billing entity for following providers:
Provider NameJack J Clark
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1902881014
PECOS PAC ID: 4183806193
Enrollment ID: I20110314000056

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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. Jack J. Clark, D.c.p.c. 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
Jack J. Clark, D.c.p.c.
6015 E State Blvd,
Fort Wayne, IN 46815-7638

Ph: (260) 486-1886
Jack J. Clark, D.c.p.c.
6015 E State Blvd,
Fort Wayne, IN 46815-7638

Ph: (260) 486-1886

News Archive

Experts call for new approach to asthma and COPD patient management

Defining a patient's symptoms using the historical diagnostic labels of asthma and chronic obstructive pulmonary disease (COPD) is an outdated approach to understanding an individual's condition, according to experts writing in the European Respiratory Journal today (Feb. 1, 2016).

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Chiropractor in Fort Wayne, IN

Dr. George Charles Joachim, DC
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: Aaron Chiropractic Clinic, 3476 Stellhorn Rd., Fort Wayne, IN 46815
Phone: 260-492-8811    Fax: 260-492-0073
Bull Chiropractic, P.c.
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 7910 Coldwater Rd, Fort Wayne, IN 46825
Phone: 260-489-3636    Fax: 260-489-3611
Dr. Daniel Steven Miller, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 10528 Coldwater Rd, Fort Wayne, IN 46845
Phone: 260-338-1700    
Natures Way Chiropractic
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 5940 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-436-8899    Fax: 260-436-1522
Dr. Kimberly A Keys, D.C.
Chiropractor
Medicare: May Accept Medicare Assignments
Practice Location: 2422 Lake Ave, Park Lake Medical Building, Fort Wayne, IN 46805
Phone: 260-420-8803    Fax: 260-420-6814
Fitch Chiropractic Llc
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 3010 E. State Blvd, Suite 500, Fort Wayne, IN 46805
Phone: 260-471-7493    Fax: 260-471-6935
Trenton G Boggs, DC
Chiropractor
Medicare: May Accept Medicare Assignments
Practice Location: 1114 W Cook Rd, Fort Wayne, IN 46825
Phone: 260-483-5588    

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