Paul A Clark, DDS in Mandeville, LA - Medicare Dentist Provider

Paul A Clark, DDS is a medicare enrolled "Dentist - General Practice" provider in Mandeville, Louisiana. Her current practice location is 639 Lotus Dr N, Mandeville, Louisiana. You can reach out to her office (for appointments etc.) via phone at (985) 624-5449.

Paul A Clark is licensed to practice in Louisiana (license number LA4476) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184872947.

Contact Information

	Paul A Clark, DDS
	639 Lotus Dr N, Mandeville, LA 70471-2926
	(985) 624-5449
	(985) 674-0393

Healthcare Provider's Profile

Full Name	Paul A Clark
Gender	Female
Speciality	Dentist - General Practice
Location	639 Lotus Dr N, Mandeville, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184872947
Provider Enumeration Date: 09/05/2008
Last Update Date: 09/05/2008

Medicare PECOS Information:

PECOS PAC ID: 9436529435
Enrollment ID: I20230109002771

Medical Identifiers

Medical identifiers for Paul A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184872947	NPI	-	NPPES
#150499	Other	LA	UNITED CONCORDIA
A2217	Other	LA	BCBC OF LA
1844764	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	LA4476 (Louisiana)	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. Paul A 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
Paul A Clark, DDS 639 Lotus Dr N, Mandeville, LA 70471-2926 Ph: (985) 624-5449	Paul A Clark, DDS 639 Lotus Dr N, Mandeville, LA 70471-2926 Ph: (985) 624-5449

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Dentist in Mandeville, LA

Patrick Meyn Weimer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 807 Asbury Dr, Mandeville, LA 70471 Phone: 985-727-1800
Macie Stultz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2935 Highway 190, Mandeville, LA 70471 Phone: 985-727-7030
Dr. John Iennusa Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2245 11th St Ste C, Mandeville, LA 70471 Phone: 985-626-4779
Dr. Cherie P Lesaicherre, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3601 Highway 190, Suite A, Mandeville, LA 70471 Phone: 985-674-0303 Fax: 985-674-0378
Dr. Toby Gregory Cothren, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 812 Park Ave, Mandeville, LA 70448 Phone: 985-624-7400
Dr. Karen Dyer Saacks, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2881 Highway 190 Ste D4, Mandeville, LA 70471 Phone: 985-626-8980 Fax: 985-727-4660
Dr. Thomas David Mcmichael Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 215 St. Ann Dr., Suite 5, Mandeville, LA 70471 Phone: 985-626-8157 Fax: 985-626-1287

Paul A Clark, DDS - Medicare Dentist in Mandeville, LA