Miss Laurie Anne Clark, PA-C - Medicare Physician Assistant in Atlanta, GA

Miss Laurie Anne Clark, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Atlanta, Georgia. Her current practice location is 95 Collier Rd Nw Ste 6015, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (491) 351-5959.

Miss Laurie Anne 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 1023388014.

Contact Information

Miss Laurie Anne Clark, PA-C
95 Collier Rd Nw Ste 6015,
Atlanta, GA 30309-1750
(491) 351-5959
Not Available



Provider's Profile

Full NameMiss Laurie Anne Clark
GenderFemale
SpecialityPhysician Assistant - Surgical
Location95 Collier Rd Nw Ste 6015, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023388014
  • Provider Enumeration Date: 01/06/2012
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0840455622
  • Enrollment ID: I20120628000423

Medical Identifiers

Medical identifiers for Miss Laurie Anne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023388014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (* (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. Miss Laurie Anne 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 Laurie Anne Clark, PA-C
5673 Peachtree Dunwoody Rd Ne, Suite 870,
Atlanta, GA 30342-1731

Ph: (443) 910-2510
Miss Laurie Anne Clark, PA-C
95 Collier Rd Nw Ste 6015,
Atlanta, GA 30309-1750

Ph: (491) 351-5959

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