Caitlin Clark, MD - Medicare Internal Medicine in Tupelo, MS

Caitlin Clark, MD is a medicare enrolled "Hospitalist" physician in Tupelo, Mississippi. She went to University Of Texas Medical School At Houston and graduated in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice North Mississippi Medical Center Inc and her current practice location is 830 S Gloster St, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 377-3275.

Caitlin Clark is licensed to practice in Mississippi (license number 29220) 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 1750776290.

Contact Information

Caitlin Clark, MD
830 S Gloster St,
Tupelo, MS 38801-4996
(662) 377-3275
Not Available



Physician's Profile

Full NameCaitlin Clark
GenderFemale
SpecialityInternal Medicine
Experience9 Years
Location830 S Gloster St, Tupelo, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Caitlin Clark attended and graduated from University Of Texas Medical School At Houston in 2015
  NPI Data:
  • NPI Number: 1750776290
  • Provider Enumeration Date: 04/01/2015
  • Last Update Date: 09/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4284937095
  • Enrollment ID: I20210917000182

Medical Identifiers

Medical identifiers for Caitlin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750776290NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 29220 (Mississippi)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Mississippi Medical CenterTupelo, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Mississippi Medical Center Inc9931010600295

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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. Caitlin Clark allows following entities to bill medicare on her behalf.
Entity NameNorth Mississippi Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972608347
PECOS PAC ID: 9931010600
Enrollment ID: O20040413000541

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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. Caitlin 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
Caitlin Clark, MD
4631 Cedar Garden Ln,
Belden, MS 38826-8201

Ph: (901) 484-8808
Caitlin Clark, MD
830 S Gloster St,
Tupelo, MS 38801-4996

Ph: (662) 377-3275

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Hospitalist Doctors in Tupelo, MS


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