Miss Dora K Clark, PA-C - Medicare Physician Assistant in West Warwick, RI

Miss Dora K Clark, PA-C is a medicare enrolled "Physician Assistant" in West Warwick, Rhode Island. Her current practice location is 207 Quaker Ln, West Warwick, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 828-7110.

Miss Dora K Clark is licensed to practice in Rhode Island (license number PA00430) 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 1760559033.

Contact Information

Miss Dora K Clark, PA-C
207 Quaker Ln,
West Warwick, RI 02893-2283
(401) 828-7110
(401) 827-6364



Provider's Profile

Full NameMiss Dora K Clark
GenderFemale
SpecialityPhysician Assistant
Location207 Quaker Ln, West Warwick, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760559033
  • Provider Enumeration Date: 11/29/2006
  • Last Update Date: 06/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7214036987
  • Enrollment ID: I20080512000156

Medical Identifiers

Medical identifiers for Miss Dora K Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760559033NPI-NPPES
DC95067MedicaidRI
P01280388OtherRIRAILROAD MCR
1760559033OtherRINEIGHBORHOOD HEALTH PLAN
2509391OtherRICOVENTRY
7674984OtherRIAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA00430 (Rhode Island)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. Miss Dora K 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
Miss Dora K Clark, PA-C
207 Quaker Ln,
West Warwick, RI 02893-2283

Ph: (401) 828-7110
Miss Dora K Clark, PA-C
207 Quaker Ln,
West Warwick, RI 02893-2283

Ph: (401) 828-7110

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Physician Assistant Nurses in West Warwick, RI

Erin K. Machado, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 207 Quaker Ln Fl 1, West Warwick, RI 02893
Phone: 401-828-8110    Fax: 401-827-6364
Robin M Masi, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1079 Main St, Suite A, West Warwick, RI 02893
Phone: 401-828-2663    Fax: 401-822-0490

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