Colby Clark, MD in Tampa, FL - Medicare General Surgery

Colby Clark, MD is a medicare enrolled "Surgery" physician in Tampa, Florida. He went to University Of Florida College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Florida Medical Clinic Llc and his current practice location is 14547 Bruce B Downs Blvd, Suite B, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 280-7676.

Colby Clark is licensed to practice in Florida (license number ME108613) 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 1538351465.

Contact Information

	Colby Clark, MD
	14547 Bruce B Downs Blvd, Suite B, Tampa, FL 33613-2709
	(813) 280-7676
	(813) 355-5098

Map and Direction

Physician's Profile

Full Name	Colby Clark
Gender	Male
Speciality	General Surgery
Experience	17 Years
Location	14547 Bruce B Downs Blvd, Tampa, Florida
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:

Colby Clark attended and graduated from University Of Florida College Of Medicine in 2007

NPI Data:

NPI Number: 1538351465
Provider Enumeration Date: 08/14/2007
Last Update Date: 08/25/2021

Medicare PECOS Information:

PECOS PAC ID: 3577732650
Enrollment ID: I20110805000456

Medical Identifiers

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

Identifier	Type	State	Issuer
1538351465	NPI	-	NPPES
P01680671	Other	FL	R&R MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	ME108613 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Tampa	Tampa, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Medical Clinic Llc	9931003068	364

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. Colby Clark allows following entities to bill medicare on his behalf.

Entity Name	Florida Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962

Entity Name	Ohi West Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982381299 PECOS PAC ID: 0648631192 Enrollment ID: O20230731002130

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. Colby 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
Colby Clark, MD 38135 Market Sq, Zephyrhills, FL 33542-7505 Ph: (813) 528-4975	Colby Clark, MD 14547 Bruce B Downs Blvd, Suite B, Tampa, FL 33613-2709 Ph: (813) 280-7676

Reviews and Comments

Surgery Doctors in Tampa, FL

Dr. Michael Martin Wach, MD Surgery Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-2916
Thomas J Herron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7968
Marco Antonio Rajo Andrade, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6919 N Dale Mabry Hwy Ste 200, Tampa, FL 33614 Phone: 813-933-3324 Fax: 813-932-4357
Brad L Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201
Dr. Karl Armistead Illig, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, Usf Vascular Surgery Ste.300, Tampa, FL 33606 Phone: 813-259-0921 Fax: 813-259-0606
Dr. Tuan Hoai Pham, M.D., PHD Surgery Medicare: Medicare Enrolled Practice Location: 3001 W Dr Mlk Blvd, Tampa, FL 33607 Phone: 813-554-8384 Fax: 813-443-8160
Gavin R Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, J402, Tampa, FL 33606 Phone: 813-844-7412

Colby Clark, MD - Medicare General Surgery in Tampa, FL