Chanelle Jacora Matthews Clark, MD in Pearland, TX - Medicare Obstetrics & Gynecology

Chanelle Jacora Matthews Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Pearland, Texas. Her current practice location is 2515 Business Center Dr, Pearland, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 442-7200.

Chanelle Jacora Matthews Clark is licensed to practice in Texas (license number M6750) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285830174.

Contact Information

	Chanelle Jacora Matthews Clark, MD
	2515 Business Center Dr, Pearland, TX 77584-2294
	(713) 442-7200
	Not Available

Map and Direction

Physician's Profile

Full Name	Chanelle Jacora Matthews Clark
Gender	Female
Speciality	Obstetrics & Gynecology
Location	2515 Business Center Dr, Pearland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285830174
Provider Enumeration Date: 06/26/2007
Last Update Date: 06/06/2021

Medicare PECOS Information:

PECOS PAC ID: 7315030244
Enrollment ID: I20070907000483

Medical Identifiers

Medical identifiers for Chanelle Jacora Matthews Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285830174	NPI	-	NPPES
188237501	Medicaid	TX
188237502	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	M6750 (Texas)	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. Chanelle Jacora Matthews Clark allows following entities to bill medicare on her behalf.

Entity Name	Kelsey-seybold Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204

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. Chanelle Jacora Matthews 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
Chanelle Jacora Matthews Clark, MD 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000	Chanelle Jacora Matthews Clark, MD 2515 Business Center Dr, Pearland, TX 77584-2294 Ph: (713) 442-7200

Reviews and Comments

Obstetrics & Gynecology Doctors in Pearland, TX

Michael Patrick Leung, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2515 Business Center Dr, Pearland, TX 77584 Phone: 713-442-7200
Dr. Jaime Jenee Middleton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10970 Shadow Creek Pkwy, Suite Number 250, Pearland, TX 77584 Phone: 832-615-1109 Fax: 832-615-1110
Dr. Michael Edwin Hunter, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10905 Memorial Hermann Dr, Suite 209, Pearland, TX 77584 Phone: 713-340-0909 Fax: 713-340-0912
Dr. Jacquin Ann Coombs, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10907 Memorial Hermann Dr, Ste 490, Pearland, TX 77584 Phone: 713-389-5520 Fax: 713-389-5521
Dr. Heather S Hoff, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10907 Memorial Hermann Dr Ste 330, Pearland, TX 77584 Phone: 713-830-1060 Fax: 713-830-1061
Dr. Diana S Duff, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10970 Shadow Creek Pkwy Ste 100, Pearland, TX 77584 Phone: 281-398-8500 Fax: 281-398-8501

Chanelle Jacora Matthews Clark, MD - Medicare Obstetrics & Gynecology in Pearland, TX