Dr Johnathan Clark, DC in Sparta, MI - Medicare Chiropractic Provider

Dr Johnathan Clark, DC is a medicare enrolled "Chiropractor" provider in Sparta, Michigan. He went to Palmer College Chiropractic - Davenport and graduated in 2015 and has 9 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Serenity Wellness Plc and his current practice location is 542 S State St, Sparta, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 887-2178.

Dr Johnathan Clark is licensed to practice in Michigan (license number 2301010324) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538532361.

Contact Information

	Dr Johnathan Clark, DC
	542 S State St, Sparta, MI 49345-1547
	(616) 887-2178
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Johnathan Clark
Gender	Male
Speciality	Chiropractic
Experience	9 Years
Location	542 S State St, Sparta, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Johnathan Clark attended and graduated from Palmer College Chiropractic - Davenport in 2015

NPI Data:

NPI Number: 1538532361
Provider Enumeration Date: 11/02/2015
Last Update Date: 11/13/2019

Medicare PECOS Information:

PECOS PAC ID: 8921399338
Enrollment ID: I20191217002736

Medical Identifiers

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

Identifier	Type	State	Issuer
1538532361	NPI	-	NPPES
504995ZU84	Other	PA	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	2301010324 (Michigan)	Primary
111N00000X	Chiropractor	DC011132 (Pennsylvania)	Secondary
111N00000X	Chiropractor	0104557282 (Virginia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Serenity Wellness Plc	0244418523	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Johnathan Clark allows following entities to bill medicare on his behalf.

Provider Name	Serenity Wellness Plc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1205121472 PECOS PAC ID: 0244418523 Enrollment ID: O20110711000448

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 Johnathan 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 Johnathan Clark, DC 542 S State St, Sparta, MI 49345-1547 Ph: (616) 887-2178	Dr Johnathan Clark, DC 542 S State St, Sparta, MI 49345-1547 Ph: (616) 887-2178

Reviews and Comments

Chiropractor in Sparta, MI

Serenity Wellness Plc Chiropractor Medicare: Medicare Enrolled Practice Location: 542 S State St, Sparta, MI 49345 Phone: 616-887-2178 Fax: 616-887-2456
George David Freeland, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 200 E Division, Sparta, MI 49345 Phone: 616-887-2400 Fax: 616-887-2740
Vorpi Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 9161 Sparta Ave Nw, Suite E, Sparta, MI 49345 Phone: 616-866-1081 Fax: 616-383-1202
Lynnmarie Skipper Leyder, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 542 S State St, Sparta, MI 49345 Phone: 616-887-2178 Fax: 616-887-2456
Dr. Lori Lynn Vorpi, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 9161 Sparta Ave Nw, Suite E, Sparta, MI 49345 Phone: 616-866-1081 Fax: 616-383-1202
Scarffe Chiropractic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 450 S State St, Ste A, Sparta, MI 49345 Phone: 616-383-1021

Dr Johnathan Clark, DC - Medicare Chiropractor in Sparta, MI