Dr Robert Wallace Clark Jr, DDS - Medicare Dentist in Youngtown, AZ

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Dr Robert Wallace Clark Jr, DDS is a medicare enrolled "Dentist" provider in Youngtown, Arizona. His current practice location is 11169 W Alabama Ave, Youngtown, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 933-2971.

Dr Robert Wallace Clark Jr is licensed to practice in Arizona (license number AZ2129) 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 1558420638.

Contact Information

Dr Robert Wallace Clark Jr, DDS
11169 W Alabama Ave,
Youngtown, AZ 85363-1228
(623) 933-2971
(623) 972-4420

Map and Direction




Healthcare Provider's Profile

Full NameDr Robert Wallace Clark Jr
GenderMale
SpecialityDentist
Location11169 W Alabama Ave, Youngtown, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558420638
  • Provider Enumeration Date: 12/06/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2961422126
  • Enrollment ID: I20160422000314

Medical Identifiers

Medical identifiers for Dr Robert Wallace Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558420638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist AZ2129 (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. Dr Robert Wallace Clark Jr 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
Dr Robert Wallace Clark Jr, DDS
11169 W Alabama Ave,
Youngtown, AZ 85363-1228

Ph: (623) 933-2971		Dr Robert Wallace Clark Jr, DDS
11169 W Alabama Ave,
Youngtown, AZ 85363-1228

Ph: (623) 933-2971

Reviews and Comments


Dentist in Youngtown, AZ

Mr. Mark Paul Yates, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 11100 W Michigan Ave, Youngtown, AZ 85363
Phone: 623-974-5629    
John E Cooper Ii, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 11126 West Wisconsin Avenue, Suite 1, Youngtown, AZ 85363
Phone: 823-933-3684    Fax: 623-933-1226
Joel Justin Nichols, D.M.D., M.H.A.
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Medicare: Not Enrolled in Medicare
Practice Location: 11132 W California Avenue, Youngtown, AZ 85363
Phone: 623-565-2446    
Dr. Laura Nichols, DMD, MHS-HIA
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 11132 California Ave, Youngtown, AZ 85363
Phone: 623-565-2446    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.