Crandon F Clark, MD | |
1901 Medi Park, Ste 2050, Amarillo, TX 79106-2110 | |
(806) 355-3352 | |
Not Available |
Full Name | Crandon F Clark |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 46 Years |
Location | 1901 Medi Park, Amarillo, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669433124 | NPI | - | NPPES |
100850140A | Medicaid | OK | |
130630101 | Other | FIRSTCARE | |
141091204 | Medicaid | TX | |
10838058 | Medicaid | NM | |
8F7703 | Other | TX | BLUE CROSS OF TEXAS |
MDL1002 | Other | TX | WORKERS COMPENSATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | L1002 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist St Anthony's Hospital | Amarillo, TX | Hospital |
Lovelace Regional Hospital - Roswell | Roswell, NM | Hospital |
Glen Rose Medical Center | Glen rose, TX | Hospital |
Ochiltree General Hospital | Perryton, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
High Plains Radiological Assoc Llp | 9739172479 | 33 |
Open Air Imaging Center, Llp | 9739258310 | 26 |
High Plains Radiological Assoc Llp | 9739172479 | 33 |
Entity Name | High Plains Radiological Assoc Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205897360 PECOS PAC ID: 9739172479 Enrollment ID: O20080102000290 |
Entity Name | Open Air Imaging Center, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609982131 PECOS PAC ID: 9739258310 Enrollment ID: O20080522000168 |
Mailing Address | Practice Location Address |
---|---|
Crandon F Clark, MD Po Box 3780, Amarillo, TX 79116-3780 Ph: (806) 355-3352 | Crandon F Clark, MD 1901 Medi Park, Ste 2050, Amarillo, TX 79106-2110 Ph: (806) 355-3352 |
Stanley D Cook, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1901 Medi Park Dr, Suite 2050, Amarillo, TX 79106 Phone: 806-355-3352 Fax: 806-355-5367 | |
Tully Jenks Currie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2818 S Lipscomb St, Amarillo, TX 79109 Phone: 806-576-6432 | |
Madhava Rao Kanakamedala, M.D., Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 S Coulter St Ste 100, Amarillo, TX 79106 Phone: 806-358-8654 Fax: 806-356-8687 | |
John L Andrew, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1901 Medipark, Ste 2050, Amarillo, TX 79106 Phone: 806-355-3352 | |
Mr. James Harry Stafford, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Medi Park Dr, Amarillo, TX 79106 Phone: 806-355-9447 Fax: 806-356-9251 | |
Rahul C Mehta, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1901 Medi Park, Ste 2050, Amarillo, TX 79106 Phone: 806-355-3352 | |
Gail Elizabeth Aznavorian-bentley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1901 Medi Park Dr, Suite 2050, Amarillo, TX 79106 Phone: 806-355-3352 Fax: 806-355-5367 |