S Kathleen Clark, MD - Medicare Dermatology in Murfreesboro, TN

S Kathleen Clark, MD is a medicare enrolled "Dermatology" physician in Murfreesboro, Tennessee. Her current practice location is 1132 Dow St, Murfreesboro, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 896-2617.

S Kathleen Clark is licensed to practice in Tennessee (license number MD0000015766) 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 1174608137.

Contact Information

S Kathleen Clark, MD
1132 Dow St,
Murfreesboro, TN 37130-2486
(615) 896-2617
Not Available



Physician's Profile

Full NameS Kathleen Clark
GenderFemale
SpecialityDermatology
Location1132 Dow St, Murfreesboro, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174608137
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 01/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3577751502
  • Enrollment ID: I20101217000239

Medical Identifiers

Medical identifiers for S Kathleen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174608137NPI-NPPES
0018534OtherTNTENNESSEE BLUE CROSS BLUE
3032646MedicaidTN
110025193OtherTNRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207NS0135XDermatology - Procedural Dermatology MD0000015766 (Tennessee)Secondary
207N00000XDermatology MD0000015766 (Tennessee)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. S Kathleen 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
S Kathleen Clark, MD
135 Cherry Ln,
Murfreesboro, TN 37130-3935

Ph: (615) 896-2617
S Kathleen Clark, MD
1132 Dow St,
Murfreesboro, TN 37130-2486

Ph: (615) 896-2617

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› Verified 5 days ago


Dermatology Doctors in Murfreesboro, TN

Miss Maria C Arzubiaga, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3400 Lebanon Rd, Murfreesboro, TN 37129
Phone: 615-893-1360    Fax: 615-867-5788
Andrea Jurgens, MD, MPH
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1725 Medical Center Pkwy Ste 300, Murfreesboro, TN 37129
Phone: 615-893-4100    
Dr. Henry King Butler Jr., MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 515 Highland Terrace, Suite A, Murfreesboro, TN 37130
Phone: 615-890-0827    Fax: 615-890-0828
Dr. Ronald Andrew Nelson, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 515 Highland Ter, Suite A, Murfreesboro, TN 37130
Phone: 615-904-2010    Fax: 615-904-6285
Dr. Christopher Brady Bledsoe, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1430 Medical Center Pkwy, Murfreesboro, TN 37129
Phone: 615-893-4480    
Dr. Charles Edward Goodman Jr., MD
Dermatology
Medicare: May Accept Medicare Assignments
Practice Location: 320 East Main Street, Murfreesboro, TN 37130
Phone: 615-896-5772    Fax: 615-907-7389

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