Christina Jane Clark, PA - Medicare Family Medicine in Broken Arrow, OK

Christina Jane Clark, PA is a medicare enrolled "Family Medicine" physician in Broken Arrow, Oklahoma. Her current practice location is 705 W Oakland St, Broken Arrow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 251-2666.

Christina Jane Clark is licensed to practice in Florida (license number PA9114888) 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 1093470957.

Contact Information

Christina Jane Clark, PA
705 W Oakland St,
Broken Arrow, OK 74012-1656
(918) 251-2666
Not Available



Physician's Profile

Full NameChristina Jane Clark
GenderFemale
SpecialityFamily Medicine
Location705 W Oakland St, Broken Arrow, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093470957
  • Provider Enumeration Date: 11/05/2021
  • Last Update Date: 11/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1052779246
  • Enrollment ID: I20230620003494

Medical Identifiers

Medical identifiers for Christina Jane Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093470957NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine PA9114888 (Florida)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. Christina Jane 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
Christina Jane Clark, PA
705 W Oakland St,
Broken Arrow, OK 74012-1656

Ph: (918) 251-2666
Christina Jane Clark, PA
705 W Oakland St,
Broken Arrow, OK 74012-1656

Ph: (918) 251-2666

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Family Medicine Doctors in Broken Arrow, OK

Dr. James Michael Ritze, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3100 S Elm Pl, Suite C, Broken Arrow, OK 74012
Phone: 918-451-9988    
Sujan Joshi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012
Phone: 918-455-4541    Fax: 918-449-9743
Robert Jeffrey Wright, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 W Boise Cir Ste 160, Broken Arrow, OK 74012
Phone: 918-994-9160    Fax: 918-403-6306
Christopher Jason Guinn, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2617 S Elm Pl Ste 100, Broken Arrow, OK 74012
Phone: 918-455-4541    Fax: 918-449-9743
Bart Rider, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2950 S Elm Pl, Ste 160, Broken Arrow, OK 74012
Phone: 918-449-3750    Fax: 918-449-3755
Dr. Jefferey L Davis, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2021 S Elm Place, Broken Arrow, OK 74012
Phone: 918-806-6461    Fax: 918-806-6710

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