Dr Brian M Clark, MD is a medicare enrolled "Obstetrics & Gynecology - Reproductive Endocrinology" physician in Millbury, Massachusetts. He went to University Of Vermont College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Obstetrics/gynecology. His current practice location is
22 West St Ste 25, Millbury, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 917-6720.
Dr Brian M Clark is licensed to practice in Massachusetts (license number 226853) 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 1437159795.
Physician's Profile
| Full Name | Dr Brian M Clark |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 30 Years |
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| Location | 22 West St Ste 25, Millbury, Massachusetts |
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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 Brian M Clark attended and graduated from University Of Vermont College Of Medicine in 1994
NPI Data:
- NPI Number: 1437159795
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 03/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 9335163609
- Enrollment ID: I20060125000788
Medical Identifiers
Medical identifiers for Dr Brian M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437159795 | NPI | - | NPPES |
| 2112191 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207VE0102X | Obstetrics & Gynecology - Reproductive Endocrinology | 226853 (Massachusetts) | Primary |
Medical Facilities Affiliation
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 Brian M Clark allows following entities to bill medicare on his behalf.
| Entity Name | New England Reproductive Medicine And Surgery Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700215670
PECOS PAC ID: 2466676820
Enrollment ID: O20140605000927 |
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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 Brian M 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 Brian M Clark, MD
22 West St Ste 25,
Millbury, MA 01527-2677
Ph: (508) 917-6720 | Dr Brian M Clark, MD
22 West St Ste 25,
Millbury, MA 01527-2677
Ph: (508) 917-6720 |
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