Dr Jameel Tamir Clark, MD in Louisville, KY

Dr Jameel Tamir Clark, MD is a medicare enrolled "Pediatrics" physician in Louisville, Kentucky. His current practice location is 4420 Dixie Hwy Ste 126, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 810-3780.

Dr Jameel Tamir Clark is licensed to practice in Kentucky (license number TP415) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952563611.

Contact Information

	Dr Jameel Tamir Clark, MD
	4420 Dixie Hwy Ste 126, Louisville, KY 40216-2994
	(502) 810-3780
	(502) 394-3607

Map and Direction

Physician's Profile

Full Name	Dr Jameel Tamir Clark
Gender	Male
Speciality	Pediatrics
Location	4420 Dixie Hwy Ste 126, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952563611
Provider Enumeration Date: 06/25/2008
Last Update Date: 03/26/2021

Medicare PECOS Information:

PECOS PAC ID: 5890967707
Enrollment ID: I20161122002142

Medical Identifiers

Medical identifiers for Dr Jameel Tamir Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952563611	NPI	-	NPPES
1525008	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	002969 (Georgia)	Secondary
208000000X	Pediatrics	47695 (Tennessee)	Secondary
208000000X	Pediatrics	TP415 (Kentucky)	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 Jameel Tamir Clark allows following entities to bill medicare on his behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656

Entity Name	Norton Childrens Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758

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 Jameel Tamir 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 Jameel Tamir Clark, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 272-5395	Dr Jameel Tamir Clark, MD 4420 Dixie Hwy Ste 126, Louisville, KY 40216-2994 Ph: (502) 810-3780

Reviews and Comments

Pediatrics Doctors in Louisville, KY

Dr. Kendra Stratton Cloyd, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3026 Poplar Level Rd, Louisville, KY 40217 Phone: 502-636-4929
Meredith Kay Irwin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mallard Creek Rd Ste 395, Louisville, KY 40207 Phone: 502-895-9421 Fax: 502-899-5762
Julia E Richerson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-776-8912
Pradip D Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9702 Stonestreet Rd, Ste 100, Louisville, KY 40272 Phone: 502-588-0610 Fax: 502-588-0611
Patricia Gail Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 411 E Chestnut St, Louisville, KY 40202 Phone: 502-588-0850 Fax: 502-588-0861
Teresa Crase, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9880 Angies Way, Ste. 400, Louisville, KY 40241 Phone: 502-394-6500
Dr. Kenneth N Schikler, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 210 E Gray St, Ste 1000, Louisville, KY 40202 Phone: 502-629-7702 Fax: 502-629-3975

Dr Jameel Tamir Clark, MD - Medicare Pediatrics in Louisville, KY