Dr Jacqueline Clark, PT, DPT in Evanston, WY - Medicare Provider

Dr Jacqueline Clark, PT, DPT is a medicare enrolled "Physical Therapist" provider in Evanston, Wyoming. Her current practice location is 195 Feather Way, Evanston, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 789-0096.

Dr Jacqueline Clark is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215452958.

Contact Information

	Dr Jacqueline Clark, PT, DPT
	195 Feather Way, Evanston, WY 82930-9352
	(307) 789-0096
	Not Available

Healthcare Provider's Profile

Full Name	Dr Jacqueline Clark
Gender	Female
Speciality
Experience	Years
Location	195 Feather Way, Evanston, Wyoming
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacqueline Clark attended and graduated from in

NPI Data:

NPI Number: 1215452958
Provider Enumeration Date: 08/03/2017
Last Update Date: 04/26/2023

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Jacqueline Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215452958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (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. Dr Jacqueline 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 Address	Practice Location Address
Dr Jacqueline Clark, PT, DPT 1849 W Anderson St, Evanston, WY 82930-3148 Ph: () -	Dr Jacqueline Clark, PT, DPT 195 Feather Way, Evanston, WY 82930-9352 Ph: (307) 789-0096

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Physical Therapist in Evanston, WY

The Intuitive Parents Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 City View Dr Ste 204, Evanston, WY 82930 Phone: 307-223-2286 Fax: 307-448-4604
Michael Gene Jacketta, MPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 620 West Cheyenne Drive, Evanston, WY 82930 Phone: 307-789-8860 Fax: 307-789-8394
Talen Little, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 195 Feather Way, Evanston, WY 82930 Phone: 307-224-7940
Uinta Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 170 Yellow Creek Rd, Suite D, Evanston, WY 82930 Phone: 307-783-8068 Fax: 307-783-8073
Dr. Matthew Dennis Mitchell, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 196 Arrowhead Dr Ste 3, Evanston, WY 82930 Phone: 307-783-8220
Wyoming Specialized Physical Therapy Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 620 W Cheyenne Dr., Evanston, WY 82930 Phone: 307-789-8860 Fax: 307-789-8394

Dr Jacqueline Clark, PT, DPT - Medicare Physical Therapist in Evanston, WY