Dr John Clark, DC is a medicare enrolled "Chiropractor" provider in Glendora, New Jersey. His current practice location is
1300 Black Horse Pike, Glendora, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 939-8889.
Dr John Clark is licensed to practice in New Jersey (license number MC03097) 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 1316985278.
Healthcare Provider's Profile
Full Name | Dr John Clark |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 1300 Black Horse Pike, Glendora, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316985278
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 03/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 6204850209
- Enrollment ID: I20060117001157
Medical Identifiers
Medical identifiers for Dr John Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316985278 | NPI | - | NPPES |
8013705 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | MC03097 (New Jersey) | 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 John 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 John Clark, DC 1448 Ellis Mill Rd, Monroeville, NJ 08343-2816 Ph: (856) 223-0194 | Dr John Clark, DC 1300 Black Horse Pike, Glendora, NJ 08029-1308 Ph: (856) 939-8889 |
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