Barry A Clark, MD is a
Pediatrics physician based in Wellsboro, Pennsylvania. Barry A Clark is licensed to practice in Pennsylvania (license number MD029130E) and his current practice location is 1b Main St, Wellsboro, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 724-7100.
NPI number for Barry A Clark is 1336249341 and his current mailing address is 1b Main St, Wellsboro, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336249341.
Physician's Profile
| Full Name | Barry A Clark |
|---|
| Gender | Male |
|---|
| Speciality | Pediatrics |
|---|
| Location | 1b Main St, Wellsboro, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336249341
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 02/28/2012
Medical Identifiers
Medical identifiers for Barry A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336249341 | NPI | - | NPPES |
| 0065299000 | Other | | PERSONAL CHOICE |
| 01032526 | Medicaid | NY | |
| 13037 | Other | | GHP |
| 0009089200001 | Medicaid | PA | |
| 304219 | Other | | UPHC |
| 4623938 | Other | | AETNA |
| 002502 | Other | | FIRST PRIORITY |
| 2603062 | Other | | GHI |
| 0606293 | Other | PA | ACCESS CARE II |
| 39D0980728 | Other | PA | CLEA |
| 794397 | Other | | HEALTH CARE ADVANTAGE |
| CX28 | Other | | HEALTH ASSURANCE |
| 070598 | Other | PA | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MD029130E (Pennsylvania) | 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. Barry A Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Barry A Clark, MD
1b Main St,
Wellsboro, PA 16901-1601
Ph: (570) 724-7100 | Barry A Clark, MD
1b Main St,
Wellsboro, PA 16901-1601
Ph: (570) 724-7100 |
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