Dr Bryan D Clark, DO - Medicare Emergency Medicine in Pulaski, VA

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Dr Bryan D Clark, DO is a medicare enrolled "Emergency Medicine" physician in Pulaski, Virginia. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Ingleside Emergency Group Llc and his current practice location is 2400 Lee Hwy N, Pulaski, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 994-8100.

Dr Bryan D Clark is licensed to practice in Virginia (license number 0102201448) 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 1194742643.

Contact Information

Dr Bryan D Clark, DO
2400 Lee Hwy N,
Pulaski, VA 24301-2326
(540) 994-8100
(804) 379-7506

Map and Direction




Physician's Profile

Full NameDr Bryan D Clark
GenderMale
SpecialityEmergency Medicine
Experience23 Years
Location2400 Lee Hwy N, Pulaski, Virginia
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:
  • Dr Bryan D Clark graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1194742643
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 12/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0648258129
  • Enrollment ID: I20040712000090

Medical Identifiers

Medical identifiers for Dr Bryan D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194742643NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 0102201448 (Virginia)Primary
208M00000XHospitalist 0102201448 (Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lewisgale Hospital AlleghanyLow moor, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ingleside Emergency Group Llc135569831717

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 Bryan D Clark allows following entities to bill medicare on his behalf.
Entity NameIngleside Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144712662
PECOS PAC ID: 1355698317
Enrollment ID: O20180720002968
Entity NameWildwood Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013409721
PECOS PAC ID: 4789932385
Enrollment ID: O20180730001151
Entity NameKingsford Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336631480
PECOS PAC ID: 3870841117
Enrollment ID: O20180802003435
Entity NameKingsford Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871088526
PECOS PAC ID: 0840541017
Enrollment ID: O20180927000385

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 Bryan D 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
Dr Bryan D Clark, DO
2250 Castlebridge Rd,
Midlothian, VA 23113-4009

Ph: (804) 513-7550		Dr Bryan D Clark, DO
2400 Lee Hwy N,
Pulaski, VA 24301-2326

Ph: (540) 994-8100

Reviews and Comments


Emergency Medicine Doctors in Pulaski, VA

Dixon Williams, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Lee Hwy N, Pulaski, VA 24301
Phone: 540-994-8100    
Ponziano Ferraraccio, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Lee Hwy N, Pulaski, VA 24301
Phone: 540-994-8100    
Dr. Benjamin Scott Davidson, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Lee Hwy N, Pulaski, VA 24301
Phone: 540-994-8100    
Karl Herbert Kletzing, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Lee Hwy N, Pulaski, VA 24301
Phone: 540-994-8100    
Saqib Mian Shah, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Lee Hwy N, Pulaski, VA 24301
Phone: 540-994-8100    Fax: 540-994-8494
Carl Hanks Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 25 4th St Nw, Pulaski, VA 24301
Phone: 450-980-0922    Fax: 540-980-2931

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.