Dr Clarence E Clark, MD - Medicare Colorectal Surgery (proctology) in Chandler, AZ

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Dr Clarence E Clark, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Chandler, Arizona. He went to Pennsylvania State University College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Sjhmc Physician Services and his current practice location is 1955 W Frye Rd, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 728-3000.

Dr Clarence E Clark is licensed to practice in Arizona (license number 61606) 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 1952582397.

Contact Information

Dr Clarence E Clark, MD
1955 W Frye Rd,
Chandler, AZ 85224-6282
(480) 728-3000
(480) 728-4747

Map and Direction




Physician's Profile

Full NameDr Clarence E Clark
GenderMale
SpecialityColorectal Surgery (proctology)
Experience20 Years
Location1955 W Frye Rd, Chandler, Arizona
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 Clarence E Clark attended and graduated from Pennsylvania State University College Of Medicine in 2004
  NPI Data:
  • NPI Number: 1952582397
  • Provider Enumeration Date: 11/14/2007
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3274725973
  • Enrollment ID: I20200904000835

Medical Identifiers

Medical identifiers for Dr Clarence E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952582397NPI-NPPES
003126879CMedicaidGA
003126879AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 068132 (Georgia)Secondary
208C00000XColon & Rectal Surgery N2443 (Texas)Secondary
208C00000XColon & Rectal Surgery 61606 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chandler Regional Medical CenterChandler, AZHospital
Mercy Gilbert Medical CenterGilbert, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sjhmc Physician Services4486646197547

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 Clarence E Clark allows following entities to bill medicare on his behalf.
Entity NameSjhmc Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326098005
PECOS PAC ID: 4486646197
Enrollment ID: O20040401001189
Entity NameChandler Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871910968
PECOS PAC ID: 5395729784
Enrollment ID: O20040615000027
Entity NameSt. Joseph's Hospital And Medical Center C/o Dignity Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255382412
PECOS PAC ID: 6709863178
Enrollment ID: O20040702000601

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 Clarence E 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 Clarence E Clark, MD
Po Box 33269,
Phoenix, AZ 85067-3269

Ph: (602) 406-4786		Dr Clarence E Clark, MD
1955 W Frye Rd,
Chandler, AZ 85224-6282

Ph: (480) 728-3000

Reviews and Comments



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.