Dr Annemarie B Clark, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Bucyrus, Ohio. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2006 and has 18 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice North Central Ohio Family Care Center Inc and her current practice location is
512 Hill St, Bucyrus, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 563-9875.
Dr Annemarie B Clark is licensed to practice in Ohio (license number 34.009695) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366651804.
Physician's Profile
| Full Name | Dr Annemarie B Clark |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 18 Years |
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| Location | 512 Hill St, Bucyrus, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Annemarie B Clark attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2006
NPI Data:
- NPI Number: 1366651804
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 12/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 4486824786
- Enrollment ID: I20110824000252
Medical Identifiers
Medical identifiers for Dr Annemarie B Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366651804 | NPI | - | NPPES |
| 0050517 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 34.009695 (Ohio) | Primary |
| 207V00000X | Obstetrics & Gynecology | 58-002245 (Ohio) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Central Ohio Family Care Center Inc | 3274437082 | 176 |
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. Dr Annemarie B Clark allows following entities to bill medicare on her behalf.
| Entity Name | Ohiohealth Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532 |
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| Entity Name | North Central Ohio Family Care Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689822827
PECOS PAC ID: 3274437082
Enrollment ID: O20031124000232 |
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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. Dr Annemarie B 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 |
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Dr Annemarie B Clark, DO
700 N Columbus St,
Crestline, OH 44827-1455
Ph: (419) 563-9875 | Dr Annemarie B Clark, DO
512 Hill St,
Bucyrus, OH 44820-1554
Ph: (419) 563-9875 |
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