Dr James E Clark Jr, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Trenton, Michigan. His current practice location is
5450 Fort St, Trenton, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 671-3297.
Dr James E Clark Jr is licensed to practice in Michigan (license number 5101015856) 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 1952506289.
Physician's Profile
Full Name | Dr James E Clark Jr |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 5450 Fort St, Trenton, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952506289
- Provider Enumeration Date: 06/18/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1850467077
- Enrollment ID: I20110608000814
Medical Identifiers
Medical identifiers for Dr James E Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952506289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 5101015856 (Michigan) | 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 James E Clark Jr allows following entities to bill medicare on his behalf.
Entity Name | Smi Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180829003142 |
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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 James E Clark Jr 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 James E Clark Jr, DO 5450 Fort St, Trenton, MI 48183-4601 Ph: (734) 671-3297 | Dr James E Clark Jr, DO 5450 Fort St, Trenton, MI 48183-4601 Ph: (734) 671-3297 |
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