Cherry Gay Clark, MD is a medicare enrolled "Family Medicine" physician in Hickory, Mississippi. Her current practice location is
18199 Highway 80, Hickory, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 646-5445.
Cherry Gay Clark is licensed to practice in Mississippi (license number 07972) 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 1336251271.
Physician's Profile
Full Name | Cherry Gay Clark |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 18199 Highway 80, Hickory, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336251271
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7810174588
- Enrollment ID: I20110606000461
Medical Identifiers
Medical identifiers for Cherry Gay Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336251271 | NPI | - | NPPES |
00114924 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 07972 (Mississippi) | 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. Cherry Gay 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 |
Cherry Gay Clark, MD Po Box 220, Hickory, MS 39332-0220 Ph: (601) 646-5445 | Cherry Gay Clark, MD 18199 Highway 80, Hickory, MS 39332-0220 Ph: (601) 646-5445 |
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