William Clark, - Medicare Physician Assistant in Prescott, AZ

William Clark, is a medicare enrolled "Physician Assistant - Medical" in Prescott, Arizona. His current practice location is 1042 Willow Creek Rd, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 379-0838.

William Clark is licensed to practice in Arizona (license number 9297) 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 1184362659.

Contact Information

William Clark,
1042 Willow Creek Rd,
Prescott, AZ 86301-1673
(928) 379-0838
Not Available



Provider's Profile

Full NameWilliam Clark
GenderMale
SpecialityPhysician Assistant - Medical
Location1042 Willow Creek Rd, Prescott, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184362659
  • Provider Enumeration Date: 05/24/2022
  • Last Update Date: 12/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072983527
  • Enrollment ID: I20221228001742

Medical Identifiers

Medical identifiers for William Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184362659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 9297 (Arizona)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. William 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
William Clark,
1042 Willow Creek Rd,
Prescott, AZ 86301-1673

Ph: (928) 379-0838
William Clark,
1042 Willow Creek Rd,
Prescott, AZ 86301-1673

Ph: (928) 379-0838

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Victoria Wood, PA
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