Dr Cary Byron Clark, MD is a medicare enrolled "Emergency Medicine" physician in Bluff Dale, Texas. His current practice location is
10901 Bakers Crossing Rd, Bluff Dale, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 823-6866.
Dr Cary Byron Clark is licensed to practice in Texas (license number G3231) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629077987.
Physician's Profile
Full Name | Dr Cary Byron Clark |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 10901 Bakers Crossing Rd, Bluff Dale, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629077987
- Provider Enumeration Date: 07/19/2005
- Last Update Date: 11/02/2012
Medicare PECOS Information:
- PECOS PAC ID: 1658357520
- Enrollment ID: I20040629001617
Medical Identifiers
Medical identifiers for Dr Cary Byron Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629077987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | G3231 (Texas) | Primary |
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 Cary Byron Clark allows following entities to bill medicare on his behalf.
Entity Name | Texas Medicine Resources, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785 |
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Entity Name | Concord Medical Group Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
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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 Cary Byron 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 Cary Byron Clark, MD 10901 Bakers Crossing Rd, Bluff Dale, TX 76433-5111 Ph: (254) 823-6866 | Dr Cary Byron Clark, MD 10901 Bakers Crossing Rd, Bluff Dale, TX 76433-5111 Ph: (254) 823-6866 |
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