Badie T Clark Iii, MD in Goldsboro, NC

Badie T Clark Iii, MD is a medicare enrolled "Pediatrics" physician in Goldsboro, North Carolina. His current practice location is 2700 Wayne Memorial Dr, Goldsboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 587-4394.

Badie T Clark Iii is licensed to practice in North Carolina (license number 2005-00825) 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 1629272182.

Contact Information

	Badie T Clark Iii, MD
	2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494
	(919) 587-4394
	(919) 587-2998

Map and Direction

Physician's Profile

Full Name	Badie T Clark Iii
Gender	Male
Speciality	Pediatrics
Location	2700 Wayne Memorial Dr, Goldsboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629272182
Provider Enumeration Date: 06/11/2007
Last Update Date: 11/07/2024

Medicare PECOS Information:

PECOS PAC ID: 6204092513
Enrollment ID: I20120731000442

Medical Identifiers

Medical identifiers for Badie T Clark Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629272182	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2005-00825 (North Carolina)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	200500825 (North Carolina)	Secondary
208000000X	Pediatrics	2005-00825 (North Carolina)	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. Badie T Clark Iii allows following entities to bill medicare on his behalf.

Entity Name	Emergency Coverage Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365

Entity Name	Unc Physicians Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646

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. Badie T Clark Iii 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
Badie T Clark Iii, MD 5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: () -	Badie T Clark Iii, MD 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 Ph: (919) 587-4394

Reviews and Comments

Pediatrics Doctors in Goldsboro, NC

David Lloyd Hill, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2706 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-734-4736 Fax: 919-580-1017
Michael S Hoover, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2706 Medical Office Place, Goldsboro, NC 27534 Phone: 919-734-4736 Fax: 919-580-1017
Bryan Dwayne Stup, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2706 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-734-4736
Adrian Aryeh Epstein, M.D. PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2700 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 314-570-0872
Dr. Federico Aguilar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531 Phone: 919-722-0928 Fax: 919-722-1952
Dr. Tod S Russell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1050 Jabara Ave, Seymour Johnson Afb, Goldsboro, NC 27531 Phone: 919-722-0928 Fax: 919-722-1952
Siegfried Chang Rong Yeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2706 Medical Office Place, Goldsboro, NC 27534 Phone: 919-734-4736 Fax: 919-580-1017

Badie T Clark Iii, MD - Medicare Pediatrics in Goldsboro, NC