Jesse Kay Clark, PA - Medicare Physician Assistant in Arkadelphia, AR

Jesse Kay Clark, PA is a medicare enrolled "Physician Assistant" in Arkadelphia, Arkansas. Her current practice location is 3050 Twin Rivers Dr, Arkadelphia, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 851-7402.

Jesse Kay Clark is licensed to practice in Arkansas (license number PA-1067) 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 1043721129.

Contact Information

Jesse Kay Clark, PA
3050 Twin Rivers Dr,
Arkadelphia, AR 71923-4218
(501) 851-7402
(501) 851-4753



Provider's Profile

Full NameJesse Kay Clark
GenderFemale
SpecialityPhysician Assistant
Location3050 Twin Rivers Dr, Arkadelphia, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043721129
  • Provider Enumeration Date: 10/17/2017
  • Last Update Date: 01/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002174281
  • Enrollment ID: I20220413000796

Medical Identifiers

Medical identifiers for Jesse Kay Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043721129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA11698 (Texas)Secondary
363A00000XPhysician Assistant PA-1067 (Arkansas)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. Jesse Kay 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
Jesse Kay Clark, PA
11001 Executive Center Dr Ste 200,
Little Rock, AR 72211-4393

Ph: (501) 812-7800
Jesse Kay Clark, PA
3050 Twin Rivers Dr,
Arkadelphia, AR 71923-4218

Ph: (501) 851-7402

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Physician Assistant Nurses in Arkadelphia, AR

Ms. Mary Abbygail Burnham, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2850 Twin Rivers Dr Ste 102, Arkadelphia, AR 71923
Phone: 870-246-8036    Fax: 870-246-7164
Casey Richard Jenkins, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 303 Professional Park Dr, Arkadelphia, AR 71923
Phone: 870-464-1515    Fax: 870-464-1514

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