Dr Deborah Y Clark, MD in Upper Marlboro, MD - Medicare Obstetrics & Gynecology

Dr Deborah Y Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Upper Marlboro, Maryland. Her current practice location is 1221 Mercantile Ln, Upper Marlboro, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 618-5500.

Dr Deborah Y Clark is licensed to practice in Maryland (license number D78154) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730137209.

Contact Information

	Dr Deborah Y Clark, MD
	1221 Mercantile Ln, Upper Marlboro, MD 20774-5374
	(301) 618-5500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Deborah Y Clark
Gender	Female
Speciality	Obstetrics & Gynecology
Location	1221 Mercantile Ln, Upper Marlboro, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730137209
Provider Enumeration Date: 05/05/2006
Last Update Date: 07/01/2021

Medicare PECOS Information:

PECOS PAC ID: 2769457407
Enrollment ID: I20160129000345

Medical Identifiers

Medical identifiers for Dr Deborah Y Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730137209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	01072948A (Indiana)	Secondary
207V00000X	Obstetrics & Gynecology	D78154 (Maryland)	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 Deborah Y Clark allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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 Deborah Y 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 Deborah Y Clark, MD 1001 Pine Heights Ave, Suite 100, Baltimore, MD 21229-5208 Ph: (410) 644-2582	Dr Deborah Y Clark, MD 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 Ph: (301) 618-5500

Reviews and Comments

Obstetrics & Gynecology Doctors in Upper Marlboro, MD

Tina Musa, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 301-618-5500
Natasha A Rodney, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 717-812-4602
Dr. Pooja Uppalapati, MD, MBA Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 901 Harry S Truman Dr N, Upper Marlboro, MD 20774 Phone: 240-677-3000
Dania Joseph, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 301-618-5500
Earl Nicholas, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 201 Castleton Place, Upper Marlboro, MD 20774 Phone: 410-750-4283

Dr Deborah Y Clark, MD - Medicare Obstetrics & Gynecology in Upper Marlboro, MD