Benjamin T Clark, DO in Mesa, AZ - Medicare Family Practice

Benjamin T Clark, DO is a medicare enrolled "Family Medicine" physician in Mesa, Arizona. He went to University Of California, Irvine, California College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cigna Healthcare Of Arizona Inc and his current practice location is 1840 S Stapley Dr Ste 101, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 464-6979.

Benjamin T Clark is licensed to practice in Arizona (license number 006841) 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 1831400894.

Contact Information

	Benjamin T Clark, DO
	1840 S Stapley Dr Ste 101, Mesa, AZ 85204-6682
	(480) 464-6979
	(480) 464-6910

Map and Direction

Physician's Profile

Full Name	Benjamin T Clark
Gender	Male
Speciality	Family Practice
Experience	11 Years
Location	1840 S Stapley Dr Ste 101, Mesa, Arizona
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:

Benjamin T Clark attended and graduated from University Of California, Irvine, California College Of Medicine in 2013

NPI Data:

NPI Number: 1831400894
Provider Enumeration Date: 06/24/2010
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 7416109186
Enrollment ID: I20180418002516

Medical Identifiers

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

Identifier	Type	State	Issuer
1831400894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	006841 (Arizona)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cigna Healthcare Of Arizona Inc	1456263573	125

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. Benjamin T Clark allows following entities to bill medicare on his behalf.

Entity Name	Cigna Healthcare Of Arizona Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043471873 PECOS PAC ID: 1456263573 Enrollment ID: O20031105000515

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. Benjamin T 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
Benjamin T Clark, DO 25500 N Norterra Dr, Phoenix, AZ 85085-8200 Ph: (623) 277-1130	Benjamin T Clark, DO 1840 S Stapley Dr Ste 101, Mesa, AZ 85204-6682 Ph: (480) 464-6979

Reviews and Comments

Family Medicine Doctors in Mesa, AZ

Dr. Jose Rapanan Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10032 E Southern Ave, Mesa, AZ 85209 Phone: 480-351-2850
Jennifer Christine Fendler, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 N Country Club Dr, Mesa, AZ 85201 Phone: 480-601-3528
George Ting, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1111 N Stapley Dr, Mesa, AZ 85203 Phone: 480-464-8500
Dr. Thomas P Porter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1950 S Country Club Dr, Mesa, AZ 85210 Phone: 480-969-1446 Fax: 480-969-9105
Dana S Farris, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave Ste 506, Mesa, AZ 85209 Phone: 480-834-7546 Fax: 480-833-8313
Nancy Mucha, CNP Family Medicine Medicare: Medicare Enrolled Practice Location: 2843 N 89th St, Mesa, AZ 85207 Phone: 480-396-3482
Ryan Elisabeth Romo, Family Medicine Medicare: Medicare Enrolled Practice Location: 1705 W Main St, Mesa, AZ 85201 Phone: 877-809-5092

Benjamin T Clark, DO - Medicare Family Practice in Mesa, AZ