Dr Clarence E Clark, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Chandler, Arizona. His current practice location is
485 S Dobson Rd Ste 201, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 728-4700.
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.
Physician's Profile
| Full Name | Dr Clarence E Clark |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 485 S Dobson Rd Ste 201, Chandler, Arizona |
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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 Clarence E Clark attended and graduated from in
NPI Data:
- NPI Number: 1952582397
- Provider Enumeration Date: 11/14/2007
- Last Update Date: 12/16/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Clarence E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952582397 | NPI | - | NPPES |
| 003126879A | Medicaid | GA | |
| 003126879C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 61606 (Arizona) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 61606 (Arizona) | Primary |
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 Address | Practice Location Address |
|---|
Dr Clarence E Clark, MD
Po Box 33269,
Phoenix, AZ 85067-3269
Ph: (602) 406-4786 | Dr Clarence E Clark, MD
485 S Dobson Rd Ste 201,
Chandler, AZ 85224-5604
Ph: (480) 728-4700 |
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