Dr Douglas George Clark, MD in Garden Grove, CA

Dr Douglas George Clark, MD is a medicare enrolled "Internal Medicine" physician in Garden Grove, California. He went to Loma Linda University School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Providence Medical Foundation and his current practice location is 12665 Garden Grove Blvd, Suite 301, Garden Grove, California. You can reach out to his office (for appointments etc.) via phone at (714) 530-7373.

Dr Douglas George Clark is licensed to practice in California (license number G050862) 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 1780688572.

Contact Information

	Dr Douglas George Clark, MD
	12665 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1901
	(714) 530-7373
	(714) 530-7940

Map and Direction

Physician's Profile

Full Name	Dr Douglas George Clark
Gender	Male
Speciality	Internal Medicine
Experience	42 Years
Location	12665 Garden Grove Blvd, Garden Grove, California
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 Douglas George Clark attended and graduated from Loma Linda University School Of Medicine in 1982

NPI Data:

NPI Number: 1780688572
Provider Enumeration Date: 06/09/2005
Last Update Date: 12/27/2007

Medicare PECOS Information:

PECOS PAC ID: 9436106838
Enrollment ID: I20090826000259

Medical Identifiers

Medical identifiers for Dr Douglas George Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780688572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	G050862 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Hospital	Orange, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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 Douglas George Clark allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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 Douglas George 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 Douglas George Clark, MD 12665 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1901 Ph: (714) 530-7373	Dr Douglas George Clark, MD 12665 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1901 Ph: (714) 530-7373

Reviews and Comments

Internal Medicine Doctors in Garden Grove, CA

Dr. Tinh Tran, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7761 Garden Grove Blvd, Garden Grove, CA 92841 Phone: 714-898-8888 Fax: 714-901-7580
Dr. Benjamin Navarro, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12751 Harbor Blvd, Garden Grove, CA 92840 Phone: 714-636-7852 Fax: 714-636-0928
Mrs. Adriana Cervantes Longo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 12100 Euclid St, 3rd Floor, Garden Grove, CA 92840 Phone: 714-741-3685
Dr. Sarah Jean Strube, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13278 Woodbrook Cir, Garden Grove, CA 92844 Phone: 714-383-2250
Michael S Finney, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12555 Garden Grove Blvd, Ste 405, Garden Grove, CA 92843 Phone: 714-530-8042
Dr. Se-young Lee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12665 Garden Grove Blvd Ste 203, Garden Grove, CA 92843 Phone: 714-468-5490
Steve Bui, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843 Phone: 714-636-2890

Dr Douglas George Clark, MD - Medicare Internal Medicine in Garden Grove, CA