Cornell M Clark, MD in Las Vegas, NV - Medicare Family Practice

Cornell M Clark, MD is a medicare enrolled "Family Medicine" physician in Las Vegas, Nevada. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Choctaw Nation Of Oklahoma and his current practice location is 888 S Rancho Dr, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 877-5199.

Cornell M Clark is licensed to practice in Nevada (license number 6460) 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 1700990421.

Contact Information

	Cornell M Clark, MD
	888 S Rancho Dr, Las Vegas, NV 89106-3810
	(702) 877-5199
	(702) 258-6152

Map and Direction

Physician's Profile

Full Name	Cornell M Clark
Gender	Male
Speciality	Family Practice
Experience	43 Years
Location	888 S Rancho Dr, Las Vegas, Nevada
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:

Cornell M Clark graduated from medical school in 1981

NPI Data:

NPI Number: 1700990421
Provider Enumeration Date: 08/18/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7719977503
Enrollment ID: I20240417000253

Medical Identifiers

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

Identifier	Type	State	Issuer
1700990421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G84970 (California)	Secondary
207Q00000X	Family Medicine	6460 (Nevada)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Choctaw Nation Health Services Authority	Talihina, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Choctaw Nation Of Oklahoma	1759294838	217

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. Cornell M Clark allows following entities to bill medicare on his behalf.

Entity Name	Choctaw Nation Of Oklahoma
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326

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. Cornell M 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
Cornell M Clark, MD Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 838-8265	Cornell M Clark, MD 888 S Rancho Dr, Las Vegas, NV 89106-3810 Ph: (702) 877-5199

Reviews and Comments

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Cornell M Clark, MD - Medicare Family Practice in Las Vegas, NV