Dr Barry Lee Clark, DO is a medicare enrolled "Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery" physician in Hartsville, South Carolina. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1998 and has 26 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Hartsville Medical Group, Llc and his current practice location is
700 Medical Park Dr, Hartsville, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 383-3742.
Dr Barry Lee Clark is licensed to practice in Mississippi (license number 26229) 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 1891795985.
Physician's Profile
| Full Name | Dr Barry Lee Clark |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 26 Years |
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| Location | 700 Medical Park Dr, Hartsville, South Carolina |
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| Accepts Medicare Assignments | Yes. He 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 Barry Lee Clark attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1998
NPI Data:
- NPI Number: 1891795985
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 10/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 1254304827
- Enrollment ID: I20040813000188
Medical Identifiers
Medical identifiers for Dr Barry Lee Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891795985 | NPI | - | NPPES |
| 02537316 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 833 (South Carolina) | Secondary |
| 207X00000X | Orthopaedic Surgery | 26229 (Mississippi) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 26229 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hartsville Medical Group, Llc | 7012062714 | 40 |
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 Barry Lee Clark allows following entities to bill medicare on his behalf.
| Entity Name | Hartsville Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598995300
PECOS PAC ID: 7012062714
Enrollment ID: O20090902000027 |
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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 Barry Lee 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 |
|---|
Dr Barry Lee Clark, DO
499 Gloster Creek Vlg Ste G1,
Tupelo, MS 38801-4751
Ph: (662) 377-2663 | Dr Barry Lee Clark, DO
700 Medical Park Dr,
Hartsville, SC 29550-4765
Ph: (843) 383-3742 |
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