David Edson Clark, DO in South Portland, ME

David Edson Clark, DO is a medicare enrolled "Family Medicine" physician in South Portland, Maine. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermed Pa and his current practice location is 100 Foden Rd Ste 203, South Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 874-1489.

David Edson Clark is licensed to practice in Maine (license number DO3002) 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 1760910863.

Contact Information

	David Edson Clark, DO
	100 Foden Rd Ste 203, South Portland, ME 04106-2327
	(207) 874-1489
	(207) 523-8590

Map and Direction

Physician's Profile

Full Name	David Edson Clark
Gender	Male
Speciality	Family Practice
Experience	7 Years
Location	100 Foden Rd Ste 203, South Portland, Maine
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:

David Edson Clark graduated from medical school in 2017

NPI Data:

NPI Number: 1760910863
Provider Enumeration Date: 06/01/2017
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5193095073
Enrollment ID: I20200904000717

Medical Identifiers

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

Identifier	Type	State	Issuer
1760910863	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DO3002 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northern Maine Medical Center	Fort kent, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermed Pa	5092605261	153

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. David Edson Clark allows following entities to bill medicare on his behalf.

Entity Name	Intermed Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467422733 PECOS PAC ID: 5092605261 Enrollment ID: O20040319000548

Entity Name	Northern Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568465144 PECOS PAC ID: 8426952987 Enrollment ID: O20040511000177

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. David Edson 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
David Edson Clark, DO 100 Gannett Dr Ste C, South Portland, ME 04106-5900 Ph: (207) 828-0361	David Edson Clark, DO 100 Foden Rd Ste 203, South Portland, ME 04106-2327 Ph: (207) 874-1489

Reviews and Comments

Family Medicine Doctors in South Portland, ME

Alexandra Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd Ste 203, South Portland, ME 04106 Phone: 207-879-1489
Dr. Joseph Py, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Western Ave, South Portland, ME 04106 Phone: 207-774-7111
Anastasia R Norman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 96 Ocean St Ste 4, South Portland, ME 04106 Phone: 207-303-8800
Bradford S. Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Foden Rd Ste 3, South Portland, ME 04106 Phone: 207-874-1489 Fax: 207-523-8590
Dr. John Edward Kazilionis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 778 Main St, Suite 1, South Portland, ME 04106 Phone: 207-775-7758 Fax: 207-879-7758
Elizabeth R Bobzien, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd, East, Suite 203, South Portland, ME 04106 Phone: 207-874-1489 Fax: 207-523-8590
Dr. Maura Fox, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Foden Rd, South Portland, ME 04106 Phone: 207-774-5816

David Edson Clark, DO - Medicare Family Practice in South Portland, ME