Dr Blair Young Clark, DO is a medicare enrolled "Ophthalmology" physician in Tiffin, Ohio. She went to West Virginia School Of Osteopathic Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Wade E Young Md Inc and her current practice location is
60 Ashwood Dr, Tiffin, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 448-8811.
Dr Blair Young Clark is licensed to practice in Ohio (license number 34.012724) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205199528.
Physician's Profile
| Full Name | Dr Blair Young Clark |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Experience | 13 Years |
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| Location | 60 Ashwood Dr, Tiffin, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Blair Young Clark attended and graduated from West Virginia School Of Osteopathic Medicine in 2011
NPI Data:
- NPI Number: 1205199528
- Provider Enumeration Date: 06/21/2012
- Last Update Date: 04/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 2769759901
- Enrollment ID: I20170518002135
Medical Identifiers
Medical identifiers for Dr Blair Young Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205199528 | NPI | - | NPPES |
| 0218698 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 34.012724 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wade E Young Md Inc | 4789719584 | 2 |
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. Dr Blair Young Clark allows following entities to bill medicare on her behalf.
| Entity Name | Wade E Young Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639111289
PECOS PAC ID: 4789719584
Enrollment ID: O20100318000608 |
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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. Dr Blair Young 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 |
|---|
Dr Blair Young Clark, DO
60 Ashwood Dr,
Tiffin, OH 44883-1908
Ph: (419) 448-8811 | Dr Blair Young Clark, DO
60 Ashwood Dr,
Tiffin, OH 44883-1908
Ph: (419) 448-8811 |
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