Clark E Judge, MD in South Portland, ME

Clark E Judge, MD is a medicare enrolled "Urology" physician in South Portland, Maine. His current practice location is 100 Brickhill Ave Ste 201, South Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 773-1728.

Clark E Judge is licensed to practice in Maine (license number MD28197) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295264307.

Contact Information

	Clark E Judge, MD
	100 Brickhill Ave Ste 201, South Portland, ME 04106-1999
	(207) 773-1728
	Not Available

Map and Direction

Physician's Profile

Full Name	Clark E Judge
Gender	Male
Speciality	Urology
Location	100 Brickhill Ave Ste 201, South Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295264307
Provider Enumeration Date: 06/12/2017
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 8325317134
Enrollment ID: I20230802002354

Medical Identifiers

Medical identifiers for Clark E Judge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295264307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	74011 (Connecticut)	Secondary
208800000X	Urology	125.070949 (Illinois)	Secondary
208800000X	Urology	MD28197 (Maine)	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. Clark E Judge allows following entities to bill medicare on his behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

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. Clark E Judge 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
Clark E Judge, MD 100 Brickhill Ave Ste 201, South Portland, ME 04106-1999 Ph: (207) 773-1728	Clark E Judge, MD 100 Brickhill Ave Ste 201, South Portland, ME 04106-1999 Ph: (207) 773-1728

Reviews and Comments

Urology Doctors in South Portland, ME

Stephen Thomas Ryan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Brickhill Ave, South Portland, ME 04106 Phone: 207-773-1728 Fax: 207-773-8153
Lily C Wang, M.D., PHD Urology Medicare: Medicare Enrolled Practice Location: 100 Brickhill Ave, South Portland, ME 04106 Phone: 207-773-1728
Lisa T Beaule, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Brickhill Ave, South Portland, ME 04106 Phone: 207-773-1728 Fax: 207-772-4062
Dr. Sanchita Bose, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Brickhill Ave, South Portland, ME 04106 Phone: 207-773-1728
Brian M Jumper, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Brickhill Avenue, South Portland, ME 04106 Phone: 207-773-1728 Fax: 207-772-4062
Moritz H Hansen, MD Urology Medicare: Medicare Enrolled Practice Location: 100 Brickhill Avenue, South Portland, ME 04106 Phone: 207-773-1728 Fax: 207-772-4062

Clark E Judge, MD - Medicare Urology in South Portland, ME