Adam Bradley Clark, DO in Simi Valley, CA - Medicare Emergency Medicine

Adam Bradley Clark, DO is a medicare enrolled "Family Medicine" physician in Simi Valley, California. He went to Western Un Of Hlth Sciences, Col Of Podiatric Med and graduated in 2010 and has 14 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Adventist Health Physicians Network, Menalam Health Services Pc and his current practice location is 2876 Sycamore Dr Ste 101, Simi Valley, California. You can reach out to his office (for appointments etc.) via phone at (805) 527-0115.

Adam Bradley Clark is licensed to practice in California (license number A16957) 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 1861865610.

Contact Information

	Adam Bradley Clark, DO
	2876 Sycamore Dr Ste 101, Simi Valley, CA 93065-1550
	(805) 527-0115
	(805) 522-0115

Map and Direction

Physician's Profile

Full Name	Adam Bradley Clark
Gender	Male
Speciality	Emergency Medicine
Experience	14 Years
Location	2876 Sycamore Dr Ste 101, Simi Valley, California
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:

Adam Bradley Clark attended and graduated from Western Un Of Hlth Sciences, Col Of Podiatric Med in 2010

NPI Data:

NPI Number: 1861865610
Provider Enumeration Date: 11/02/2015
Last Update Date: 06/28/2024

Medicare PECOS Information:

PECOS PAC ID: 6406273986
Enrollment ID: I20200828001494

Medical Identifiers

Medical identifiers for Adam Bradley Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861865610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A16957 (California)	Primary
208M00000X	Hospitalist	A16957 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Simi Valley	Simi valley, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adventist Health Physicians Network	3274580972	544
Menalam Health Services Pc	7012319163	24

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. Adam Bradley Clark allows following entities to bill medicare on his behalf.

Entity Name	Adventist Health Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083976294 PECOS PAC ID: 3274580972 Enrollment ID: O20120726000175

Entity Name	Jonathan Nasseri Md Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194063529 PECOS PAC ID: 8921253469 Enrollment ID: O20130306000489

Entity Name	Menalam Health Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114594967 PECOS PAC ID: 7012319163 Enrollment ID: O20210712002579

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. Adam Bradley 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
Adam Bradley Clark, DO 2876 Sycamore Dr Ste 101, Simi Valley, CA 93065-1550 Ph: (805) 527-0115	Adam Bradley Clark, DO 2876 Sycamore Dr Ste 101, Simi Valley, CA 93065-1550 Ph: (805) 527-0115

Reviews and Comments

Family Medicine Doctors in Simi Valley, CA

Denise Lu-gee Hom, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3605 Alamo St, Suite 100, Simi Valley, CA 93063 Phone: 805-522-6577 Fax: 805-522-7030
Dr. Bennett Lee, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2755 Alamo St, Suite 101, Simi Valley, CA 93065 Phone: 805-522-6577 Fax: 805-522-7030
Margaret Soriano, NURSE PRACTITIONER Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1980 Sequoia Ave, Simi Valley, CA 93063 Phone: 805-583-5555
Dr. Aubrey Taow, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2876 Sycamore Dr Ste 101, Simi Valley, CA 93065 Phone: 805-527-6424
Tannaz Zahirpour, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Sycamore Dr., Suite 204-205, Simi Valley, CA 93065 Phone: 805-578-9620 Fax: 805-583-0414
Mr. Daniel Bruce Takeda, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Sycamore Drive, Suite 202, Simi Valley, CA 93065 Phone: 805-527-9140 Fax: 805-527-0783
Dr. Harry Drummond Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2755 Alamo St, Suite 100, Simi Valley, CA 93065 Phone: 805-210-7280 Fax: 805-210-4716

Adam Bradley Clark, DO - Medicare Emergency Medicine in Simi Valley, CA