Dr Clark C Chen, MD PHD in Providence, RI

Dr Clark C Chen, MD PHD is a medicare enrolled "Neurological Surgery" physician in Providence, Rhode Island. He went to Harvard Medical School and graduated in 2001 and has 23 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Lifespan Physician Group Inc and his current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 793-9166.

Dr Clark C Chen is licensed to practice in Rhode Island (license number MD19577) 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 1437149523.

Contact Information

	Dr Clark C Chen, MD PHD
	593 Eddy St, Providence, RI 02903-4923
	(401) 793-9166
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Clark C Chen
Gender	Male
Speciality	Neurosurgery
Experience	23 Years
Location	593 Eddy St, Providence, Rhode Island
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 C Chen attended and graduated from Harvard Medical School in 2001

NPI Data:

NPI Number: 1437149523
Provider Enumeration Date: 10/28/2005
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 5395825632
Enrollment ID: I20240123003014

Medical Identifiers

Medical identifiers for Dr Clark C Chen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437149523	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	216069 (Massachusetts)	Secondary
207T00000X	Neurological Surgery	62432 (Minnesota)	Secondary
207T00000X	Neurological Surgery	MD19577 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rhode Island Hospital	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifespan Physician Group Inc	2567455082	634

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 C Chen allows following entities to bill medicare on his behalf.

Entity Name	Rhode Island Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396849782 PECOS PAC ID: 8921900044 Enrollment ID: O20050211000311

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368

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 C Chen 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 C Chen, MD PHD Po Box 232410, San Diego, CA 92193-2410 Ph: (858) 822-4048	Dr Clark C Chen, MD PHD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 793-9166

Reviews and Comments

Neurological Surgery Doctors in Providence, RI

Dr. Elias Shaaya, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-793-9135
Dr. Ki-eun Chang, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street Apc 6, Providence, RI 02903 Phone: 401-793-9166 Fax: 401-444-2788
Dr. Belinda Shao, MD, MPH Neurological Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-793-9135 Fax: 401-444-2788
Dr. Petra Margarete Klinge, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Claverick Street, Providence, RI 02903 Phone: 401-455-1749 Fax: 401-455-1292
Sohail Syed, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Apc 6, Providence, RI 02903 Phone: 401-444-4146 Fax: 401-444-2781
Albert Edward Telfeian, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Apc 6, Providence, RI 02903 Phone: 401-793-9153 Fax: 401-444-2024
Dr. Beverly Claire Walters, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 128 N Main St, Providence, RI 02903 Phone: 401-351-1369 Fax: 401-251-0079

Dr Clark C Chen, MD PHD - Medicare Neurosurgery in Providence, RI