Dr Heather Michelle Clark, MD in Auburn, IN - Medicare Emergency Medicine

Dr Heather Michelle Clark, MD is a medicare enrolled "Emergency Medicine" physician in Auburn, Indiana. Her current practice location is 1316 E 7th St, Auburn, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 373-4000.

Dr Heather Michelle Clark is licensed to practice in Indiana (license number 01069280A) 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 1558523795.

Contact Information

	Dr Heather Michelle Clark, MD
	1316 E 7th St, Auburn, IN 46706-2538
	(260) 373-4000
	(260) 482-4442

Map and Direction

Physician's Profile

Full Name	Dr Heather Michelle Clark
Gender	Female
Speciality	Emergency Medicine
Location	1316 E 7th St, Auburn, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558523795
Provider Enumeration Date: 06/30/2008
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 4789853672
Enrollment ID: I20110810000475

Medical Identifiers

Medical identifiers for Dr Heather Michelle Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558523795	NPI	-	NPPES
01069280A	Other	IN	IN PHYSICIAN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	01069280A (Indiana)	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 Heather Michelle Clark allows following entities to bill medicare on her behalf.

Entity Name	Professional Emergency Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999

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 Heather Michelle 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 Heather Michelle Clark, MD 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 Ph: (260) 482-4440	Dr Heather Michelle Clark, MD 1316 E 7th St, Auburn, IN 46706-2538 Ph: (260) 373-4000

Reviews and Comments

Emergency Medicine Doctors in Auburn, IN

Keith R Schreffler Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 E 7th St, Auburn, IN 46706 Phone: 260-925-4600
Dr. Katherine L Cassidy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 E 7th St, Auburn, IN 46706 Phone: 260-373-4000 Fax: 260-482-4442
Ajiru S Nyambwa, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1316 E 7th St, Auburn, IN 46706 Phone: 260-925-4600 Fax: 260-482-4442
John D Wagel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 E 7th St, Auburn, IN 46706 Phone: 260-925-4600
Tiffany Carolyn Alexander, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 E 7th St, Auburn, IN 46706 Phone: 260-925-4600

Dr Heather Michelle Clark, MD - Medicare Emergency Medicine in Auburn, IN