Dr Ryan Gregory Clark, DMD in Martinsburg, WV

Dr Ryan Gregory Clark, DMD is a medicare enrolled "Dentist" provider in Martinsburg, West Virginia. His current practice location is 58 Warm Springs Ave, Martinsburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 263-4999.

Dr Ryan Gregory Clark is licensed to practice in Indiana (license number 12011515A) 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 1528372133.

Contact Information

	Dr Ryan Gregory Clark, DMD
	58 Warm Springs Ave, Martinsburg, WV 25404-3800
	(304) 263-4999
	(304) 163-4999

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ryan Gregory Clark
Gender	Male
Speciality	Dentist
Location	58 Warm Springs Ave, Martinsburg, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528372133
Provider Enumeration Date: 08/06/2010
Last Update Date: 02/11/2013

Medicare PECOS Information:

PECOS PAC ID: 0345545992
Enrollment ID: I20210301001067

Medical Identifiers

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

Identifier	Type	State	Issuer
1528372133	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	12011515A (Indiana)	Primary

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 Ryan Gregory Clark allows following entities to bill medicare on his behalf.

Entity Name	Syracuse Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497796353 PECOS PAC ID: 0143121327 Enrollment ID: O20040120000443

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 Ryan Gregory 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 Ryan Gregory Clark, DMD Po Box 1146, Martinsburg, WV 25402-1146 Ph: (304) 263-4999	Dr Ryan Gregory Clark, DMD 58 Warm Springs Ave, Martinsburg, WV 25404-3800 Ph: (304) 263-4999

Reviews and Comments

Dentist in Martinsburg, WV

Dr. Lori L Gochenour, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 113a Tavern Road, Martinsburg, WV 25401 Phone: 304-263-9191 Fax: 304-263-9659
Dr. Rajia Sebbahi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1394 Crushed Apple Dr, Martinsburg, WV 25403 Phone: 617-372-1157
Dr. Whitney E Queen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 902 N Queen St, Martinsburg, WV 25401 Phone: 304-263-6568 Fax: 304-267-7183
Robert Samuel Gingrich, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8724 Tuscarora Pike, Martinsburg, WV 25403 Phone: 304-263-5432 Fax: 304-263-5432
Gabrielle Helms, DDS Dentist Medicare: Medicare Enrolled Practice Location: 58 Warm Springs Ave., Martinsburg, WV 25404 Phone: 304-263-4999 Fax: 304-263-0984
Dr. John Lee Horton Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 96 Old Mill Rd, Martinsburg, WV 25401 Phone: 304-263-0707
Dr. Parvati Lakshmi Gopalan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Martinsburg, WV 25405 Phone: 276-870-0064

Dr Ryan Gregory Clark, DMD - Medicare Dentist in Martinsburg, WV