Dr Clark B Diffendaffer, MD in Lincoln, NE - Medicare Diagnostic Radiology

Dr Clark B Diffendaffer, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Lincoln, Nebraska. He went to University Of Nebraska College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Advanced Medical Imaging Llc, Radiology Associates Pc and his current practice location is 7601 Pioneers Blvd, Lincoln, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 484-6677.

Dr Clark B Diffendaffer is licensed to practice in Florida (license number TRN9101) 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 1174612337.

Contact Information

	Dr Clark B Diffendaffer, MD
	7601 Pioneers Blvd, Lincoln, NE 68506-4675
	(402) 484-6677
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Clark B Diffendaffer
Gender	Male
Speciality	Diagnostic Radiology
Experience	20 Years
Location	7601 Pioneers Blvd, Lincoln, Nebraska
Accepts Medicare Assignments	Yes. 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 Clark B Diffendaffer attended and graduated from University Of Nebraska College Of Medicine in 2004

NPI Data:

NPI Number: 1174612337
Provider Enumeration Date: 10/12/2006
Last Update Date: 01/28/2022

Medicare PECOS Information:

PECOS PAC ID: 4082746714
Enrollment ID: I20190618002931

Medical Identifiers

Medical identifiers for Dr Clark B Diffendaffer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174612337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	24399 (Nebraska)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	TRN9101 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phelps Memorial Health Center	Holdrege, NE	Hospital
Community Medical Center, Inc.	Falls city, NE	Hospital
Memorial Health Care Systems	Seward, NE	Hospital
Valley County Health System	Ord, NE	Hospital
Syracuse Area Health	Syracuse, NE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Medical Imaging Llc	0840265773	33
Radiology Associates Pc	5698735181	28

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 Clark B Diffendaffer allows following entities to bill medicare on his behalf.

Entity Name	Florida Radiology Imaging At Lake Mary Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740256494 PECOS PAC ID: 1254311137 Enrollment ID: O20040721001414

Entity Name	Radiology Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548227036 PECOS PAC ID: 5698735181 Enrollment ID: O20190426000907

Entity Name	Advanced Medical Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437116936 PECOS PAC ID: 0840265773 Enrollment ID: O20190520001988

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 Clark B Diffendaffer 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 Clark B Diffendaffer, MD 601 E Rollins St, Orlando, FL 32803-1248 Ph: (407) 200-2355	Dr Clark B Diffendaffer, MD 7601 Pioneers Blvd, Lincoln, NE 68506-4675 Ph: (402) 484-6677

Reviews and Comments

Radiology Doctors in Lincoln, NE

David M Schmidt, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 7601 Pioneers Blvd, Lincoln, NE 68506 Phone: 402-484-6677 Fax: 402-484-4476
Eric M Williams, MD Radiology Medicare: Medicare Enrolled Practice Location: 3901 Pine Lake Rd, Suite 300, Lincoln, NE 68516 Phone: 402-420-3500
Douglas J Winjum, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7121 Stephanie Ln, Ste 100, Lincoln, NE 68516 Phone: 402-420-3500
Dr. Kathryn Totino, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3901 Pine Lake Rd Ste 214, Lincoln, NE 68516 Phone: 402-481-6000 Fax: 402-423-4100
Rahul S Razdan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7601 Pioneers Blvd, Lincoln, NE 68506 Phone: 402-484-6677 Fax: 402-484-4476
Michael D Dewald, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7601 Pioneers Blvd, Lincoln, NE 68506 Phone: 402-484-6677 Fax: 402-484-4476

Dr Clark B Diffendaffer, MD - Medicare Diagnostic Radiology in Lincoln, NE