Clark Hardgrave, PA-C - Medicare Physician Assistant in Albuquerque, NM

Clark Hardgrave, PA-C is a medicare enrolled "Physician Assistant" in Albuquerque, New Mexico. His current practice location is 5608 Zuni Rd Se, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 262-2481.

Clark Hardgrave is licensed to practice in New Mexico (license number PA2014-0067) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255733135.

Contact Information

Clark Hardgrave, PA-C
5608 Zuni Rd Se,
Albuquerque, NM 87108-2926
(505) 262-2481
(505) 262-0781



Provider's Profile

Full NameClark Hardgrave
GenderMale
SpecialityPhysician Assistant
Location5608 Zuni Rd Se, Albuquerque, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255733135
  • Provider Enumeration Date: 09/22/2014
  • Last Update Date: 07/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789907395
  • Enrollment ID: I20150106000417

Medical Identifiers

Medical identifiers for Clark Hardgrave such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255733135NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA2014-0067 (New Mexico)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. Clark Hardgrave 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
Clark Hardgrave, PA-C
417 15th St Sw,
Albuquerque, NM 87104-1062

Ph: () -
Clark Hardgrave, PA-C
5608 Zuni Rd Se,
Albuquerque, NM 87108-2926

Ph: (505) 262-2481

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Physician Assistant Nurses in Albuquerque, NM

Audra Dawn Clemens, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 303 Roma Ave Nw, Albuquerque, NM 87102
Phone: 505-262-3542    
Jessica Rose Gonzalez, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5904 Holly Ave Ne, Albuquerque, NM 87113
Phone: 505-298-2505    
Elise Nicole Pedigo, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 630 Haines Ave Nw, Albuquerque, NM 87102
Phone: 505-268-5611    Fax: 505-268-5736
Mrs. Danielle Kimberly Mccarthy, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 8301 Spain Rd Ne, Albuquerque, NM 87109
Phone: 505-821-6663    
Ms. Lauren Soules, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3615 Highway 528 Nw, Albuquerque, NM 87114
Phone: 505-248-1518    
Jennifer Lynn Otis,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3741 Rutledge Rd Ne, Albuquerque, NM 87109
Phone: 505-798-9300    Fax: 505-798-0808
Luke Ezekiel Glazener, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106
Phone: 505-841-1125    

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