Chad Michael Clark, MD in Gastonia, NC - Medicare Diagnostic Radiology

Chad Michael Clark, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Gastonia, North Carolina. He went to Washington University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Gaston Radiology Pa, Reno Radiological Associates Chartered and his current practice location is 620 Summit Crossing Pl, Ste 106, Gastonia, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 867-8021.

Chad Michael Clark is licensed to practice in North Carolina (license number 2004-00199) 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 1275517831.

Contact Information

	Chad Michael Clark, MD
	620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054-2176
	(704) 867-8021
	(704) 864-4606

Map and Direction

Physician's Profile

Full Name	Chad Michael Clark
Gender	Male
Speciality	Diagnostic Radiology
Experience	26 Years
Location	620 Summit Crossing Pl, Gastonia, North Carolina
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:

Chad Michael Clark attended and graduated from Washington University School Of Medicine in 1998

NPI Data:

NPI Number: 1275517831
Provider Enumeration Date: 12/06/2005
Last Update Date: 04/19/2024

Medicare PECOS Information:

PECOS PAC ID: 6800862160
Enrollment ID: I20040908000607

Medical Identifiers

Medical identifiers for Chad Michael Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275517831	NPI	-	NPPES
1377R	Other		BLUE CROSS BLUE SHIELD
N0019C	Medicaid	SC
7095608	Other		AETNA PPO
891377R	Medicaid	NC
P00183056	Other		RAILROAD MEDICARE
804966	Other		PARTNERS
D4989	Other		MEDCOST
3616084	Other		AETNA HMO
560988142	Other		UNITED HEALTHCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	200400199 (North Carolina)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	2004-00199 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Caromont Regional Medical Center	Gastonia, NC	Hospital
Renown South Meadows Medical Center	Reno, NV	Hospital
Renown Regional Medical Center	Reno, NV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gaston Radiology Pa	4082680806	18
Reno Radiological Associates Chartered	9436135571	26

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. Chad Michael Clark allows following entities to bill medicare on his behalf.

Entity Name	Gaston Radiology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356324487 PECOS PAC ID: 4082680806 Enrollment ID: O20040902001290

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. Chad Michael 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
Chad Michael Clark, MD Po Box 7055, Reno, NV 89510-7055 Ph: (704) 867-8021	Chad Michael Clark, MD 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054-2176 Ph: (704) 867-8021

Reviews and Comments

Radiology Doctors in Gastonia, NC

Mark Thomas Edge, PHD MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Renee Raimondi Deweese, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Summit Crossing Place, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Christopher Johannus Vandermeer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Dr. Richard S Herring, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054 Phone: 404-712-4686
Heather Ann Pickford, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Christopher William Saltmarsh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606

Chad Michael Clark, MD - Medicare Diagnostic Radiology in Gastonia, NC