Dr Gary Wayne Clark, DO - Medicare Family Practice in Carrollton, OH

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Dr Gary Wayne Clark, DO is a medicare enrolled "Family Medicine" physician in Carrollton, Ohio. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cleveland Clinic Mercy Hospital and his current practice location is 125 Canton Rd Nw, Carrollton, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 627-7641.

Dr Gary Wayne Clark is licensed to practice in Ohio (license number 011418) 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 1013987759.

Contact Information

Dr Gary Wayne Clark, DO
125 Canton Rd Nw,
Carrollton, OH 44615-1009
(330) 627-7641
(330) 627-5796

Map and Direction




Physician's Profile

Full NameDr Gary Wayne Clark
GenderMale
SpecialityFamily Practice
Experience36 Years
Location125 Canton Rd Nw, Carrollton, Ohio
Accepts Medicare AssignmentsYes. 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 Gary Wayne Clark graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1013987759
  • Provider Enumeration Date: 01/25/2006
  • Last Update Date: 04/24/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9436237898
  • Enrollment ID: I20150827000323

Medical Identifiers

Medical identifiers for Dr Gary Wayne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013987759NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO785 (Tennessee)Secondary
207Q00000XFamily Medicine 011418 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CenterCanton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cleveland Clinic Mercy Hospital054715679642

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 Gary Wayne Clark allows following entities to bill medicare on his behalf.
Entity NameCleveland Clinic Mercy Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366433195
PECOS PAC ID: 0547156796
Enrollment ID: O20040224001287

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 Gary Wayne 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 AddressPractice Location Address
Dr Gary Wayne Clark, DO
82 5th St Ne,
Carrollton, OH 44615-1214

Ph: (330) 627-3494		Dr Gary Wayne Clark, DO
125 Canton Rd Nw,
Carrollton, OH 44615-1009

Ph: (330) 627-7641

Reviews and Comments


Family Medicine Doctors in Carrollton, OH

Carl R Fry, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1020 Trump Rd Nw Ste 4, Carrollton, OH 44615
Phone: 330-627-0884    Fax: 330-627-0885
Dr. Matthew D Inman, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 125 Canton Rd Nw, Suite A, Carrollton, OH 44615
Phone: 330-627-8163    Fax: 330-627-0197
Emily Brown, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1020 Trump Rd Nw, Carrollton, OH 44615
Phone: 330-627-0091    
Walter Scott Stine, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1020 Trump Rd Nw, Carrollton, OH 44615
Phone: 330-627-7055    Fax: 330-627-7602
Melissa Erin Prokop, NURSE PRACTITIONER
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1020 Trump Rd Nw, Carrollton, OH 44615
Phone: 330-627-0091    
Mandal Brian Haas, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1020 Trump Rd Nw, Carrollton, OH 44615
Phone: 330-627-7055    Fax: 330-627-7602

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.