Daniel James Clark, DO - Medicare Anesthesiology in Fort Mohave, AZ

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Daniel James Clark, DO is a medicare enrolled "Anesthesiology" physician in Fort Mohave, Arizona. He graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Sutter Valley Medical Foundation and his current practice location is 5330 S Highway 95, Fort Mohave, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 788-7115.

Daniel James Clark is licensed to practice in California (license number 20A10260) 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 1003017229.

Contact Information

Daniel James Clark, DO
5330 S Highway 95,
Fort Mohave, AZ 86426-9225
(928) 788-7115
(770) 874-5483

Map and Direction




Physician's Profile

Full NameDaniel James Clark
GenderMale
SpecialityAnesthesiology
Experience17 Years
Location5330 S Highway 95, Fort Mohave, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Daniel James Clark graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1003017229
  • Provider Enumeration Date: 05/29/2007
  • Last Update Date: 07/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931258159
  • Enrollment ID: I20201118001663

Medical Identifiers

Medical identifiers for Daniel James Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003017229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 4708 (Oklahoma)Secondary
207L00000XAnesthesiology E-5858 (Arkansas)Secondary
207L00000XAnesthesiology OP 60011959 (Washington)Secondary
207L00000XAnesthesiology 4799 (Arizona)Secondary
207L00000XAnesthesiology 20A10260 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterModesto, CAHospital
Conway Regional Health SystemConway, ARHospital
Santa Rosa Memorial HospitalSanta rosa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Valley Medical Foundation98300945151919

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. Daniel James Clark allows following entities to bill medicare on his behalf.
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335
Entity NameFirst Choice Physician Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104183052
PECOS PAC ID: 0941465322
Enrollment ID: O20120710000480
Entity NameCep America - Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790401438
PECOS PAC ID: 3678897915
Enrollment ID: O20150115001110
Entity NameOmni Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720405509
PECOS PAC ID: 7911375266
Enrollment ID: O20221117003254

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. Daniel James 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 AddressPractice Location Address
Daniel James Clark, DO
5665 New Northside Dr, Suite 320,
Atlanta, GA 30328-5831

Ph: (770) 874-5400		Daniel James Clark, DO
5330 S Highway 95,
Fort Mohave, AZ 86426-9225

Ph: (928) 788-7115

Reviews and Comments


Anesthesiology Doctors in Fort Mohave, AZ

Dr. Henry H Liang, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426
Phone: 888-206-5902    Fax: 480-466-7536
Fredrick Russek, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 5263 S Highway 95, Suite 101, Fort Mohave, AZ 86426
Phone: 928-788-3333    Fax: 928-788-3555
Oleg V Serbine, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1510 E Wagon Wheel Ln, Ste. 110, Fort Mohave, AZ 86426
Phone: 928-788-3333    Fax: 928-788-3555
Dr. Mervat Basta, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426
Phone: 888-206-5902    Fax: 480-466-7536
Dr. Scott Duong, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426
Phone: 888-206-5902    Fax: 480-466-7536
Francisco J. Melo, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426
Phone: 888-206-5902    Fax: 480-466-7536

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.