Elizabeth Clark, MSC, PA - Medicare Physician Assistant in Appleton, WI

Elizabeth Clark, MSC, PA is a medicare enrolled "Physician Assistant" in Appleton, Wisconsin. Her current practice location is 1818 N Meade St, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 731-4101.

Elizabeth Clark is licensed to practice in * (Not Available) (license number ) 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 1053867853.

Contact Information

Elizabeth Clark, MSC, PA
1818 N Meade St,
Appleton, WI 54911-3454
(920) 731-4101
Not Available



Provider's Profile

Full NameElizabeth Clark
GenderFemale
SpecialityPhysician Assistant
Location1818 N Meade St, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053867853
  • Provider Enumeration Date: 08/31/2016
  • Last Update Date: 03/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8628359882
  • Enrollment ID: I20161229001416

Medical Identifiers

Medical identifiers for Elizabeth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053867853NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Elizabeth 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
Elizabeth Clark, MSC, PA
1818 N Meade St,
Appleton, WI 54911-3454

Ph: (507) 450-6906
Elizabeth Clark, MSC, PA
1818 N Meade St,
Appleton, WI 54911-3454

Ph: (920) 731-4101

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› Verified 5 days ago


Physician Assistant Nurses in Appleton, WI

Rachel Rockweiler, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    
Hanna Rose Sippel, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-4101    Fax: 920-735-7618
Mrs. Katherine K Krause, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 820 E Grant St, Appleton, WI 54911
Phone: 920-831-5050    Fax: 920-738-6400
Mr. Matthew S. Bay, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N. Meade St Suite 240 West, Fox Valley Surgical Associates, Appleton, WI 54911
Phone: 920-731-8289    Fax: 920-832-0444
Kirsten D Pethan, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    
Kristen T Razner, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2500 E Capitol Dr # 3700, Appleton, WI 54911
Phone: 920-965-0345    
Anna L King, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    Fax: 920-225-1414

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