Allen R Clark, MD in South Bend, IN - Medicare Obstetrics/gynecology

Allen R Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in South Bend, Indiana. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice The South Bend Clinic Llc and his current practice location is 515 N Lafayette Blvd, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 232-2037.

Allen R Clark is licensed to practice in Indiana (license number 01074111) 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 1891013967.

Contact Information

	Allen R Clark, MD
	515 N Lafayette Blvd, South Bend, IN 46601-1003
	(574) 232-2037
	(574) 232-1420

Map and Direction

Physician's Profile

Full Name	Allen R Clark
Gender	Male
Speciality	Obstetrics/gynecology
Experience	10 Years
Location	515 N Lafayette Blvd, South Bend, Indiana
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:

Allen R Clark graduated from medical school in 2014

NPI Data:

NPI Number: 1891013967
Provider Enumeration Date: 05/13/2010
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0941425680
Enrollment ID: I20140714000373

Medical Identifiers

Medical identifiers for Allen R Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891013967	NPI	-	NPPES
01074111A	Other	IN	LICENSE
201233020	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	01074111 (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The South Bend Clinic Llc	3779577937	173

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. Allen R Clark allows following entities to bill medicare on his behalf.

Entity Name	The South Bend Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439

Entity Name	Healthlinc Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929

Entity Name	Allied Physicians Of Michiana, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508191768 PECOS PAC ID: 4486627601 Enrollment ID: O20091216000468

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. Allen R 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
Allen R Clark, MD 515 N Lafayette Blvd, South Bend, IN 46601-1003 Ph: (574) 232-2037	Allen R Clark, MD 515 N Lafayette Blvd, South Bend, IN 46601-1003 Ph: (574) 232-2037

Reviews and Comments

Obstetrics & Gynecology Doctors in South Bend, IN

Dr. Rajendra Vito Shah, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 515 N Lafayette Blvd, South Bend, IN 46601 Phone: 574-232-2037 Fax: 574-232-1420
Kelly Wayne Mcguire, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6301 University Commons, Suite 310, South Bend, IN 46635 Phone: 574-232-1471 Fax: 574-239-8511
Sara A Baumgartner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons Ste 310, South Bend, IN 46635 Phone: 574-232-1471 Fax: 574-239-8511
Robert J Austin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1650 Fax: 574-647-1655
Dr. Thomas R Gruszynski, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 621 Memorial Dr, Suite 616, South Bend, IN 46601 Phone: 574-234-2128 Fax: 574-234-4775
Daniel Francis Czarnecki, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 515 N Lafayette Blvd, South Bend, IN 46601 Phone: 574-232-2037 Fax: 574-232-1420
Nonyem Onujiogu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 4470, South Bend, IN 46601 Phone: 574-647-4230 Fax: 574-647-4235

Allen R Clark, MD - Medicare Obstetrics/gynecology in South Bend, IN