Clark Larkin Gifford, MD in Riverside, CA

Clark Larkin Gifford, MD is a medicare enrolled "Pediatrics" physician in Riverside, California. His current practice location is 7117 Brockton Ave, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 782-3685.

Clark Larkin Gifford is licensed to practice in California (license number G47524) 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 1063493435.

Contact Information

	Clark Larkin Gifford, MD
	7117 Brockton Ave, Riverside, CA 92506-2615
	(951) 782-3685
	(951) 784-3256

Map and Direction

Physician's Profile

Full Name	Clark Larkin Gifford
Gender	Male
Speciality	Pediatrics
Location	7117 Brockton Ave, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063493435
Provider Enumeration Date: 11/10/2005
Last Update Date: 12/02/2011

Medicare PECOS Information:

PECOS PAC ID: 5698957082
Enrollment ID: I20110307000283

Medical Identifiers

Medical identifiers for Clark Larkin Gifford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063493435	NPI	-	NPPES
1730180415	Other		GROUP NPI NUMBER
ZZZ31887Z	Other		GROUP SITE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G47524 (California)	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 Larkin Gifford allows following entities to bill medicare on his behalf.

Entity Name	Riverside Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720183403 PECOS PAC ID: 2961492327 Enrollment ID: O20040517000880

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 Larkin Gifford 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 Larkin Gifford, MD 3660 Arlington Ave, Riverside, CA 92506-3912 Ph: (951) 782-3685	Clark Larkin Gifford, MD 7117 Brockton Ave, Riverside, CA 92506-2615 Ph: (951) 782-3685

Reviews and Comments

Pediatrics Doctors in Riverside, CA

Iris Figueroa Lois, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5432 Fax: 951-697-5471
Dr. Stacy Marie Catalon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19314 Jesse Ln, Riverside, CA 92508 Phone: 951-782-3640
Dr. Hisham Ahmad Labanieh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-2000
Mohammad Shujauddin Siddiqui, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10769 Hole Ave, Suite 220, Riverside, CA 92505 Phone: 951-358-5554 Fax: 951-358-5980
Beth L. Drake, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Thomas J Chen, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3849 Fax: 951-784-3271

Clark Larkin Gifford, MD - Medicare Pediatrics in Riverside, CA