Dr James M Clark, MD | |
1001 E 2nd St Ste N, Coudersport, PA 16915-8161 | |
(814) 274-7101 | |
Not Available |
Full Name | Dr James M Clark |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 18 Years |
Location | 1001 E 2nd St Ste N, Coudersport, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811101231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | ME106885 (Florida) | Secondary |
207V00000X | Obstetrics & Gynecology | MD446841 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dhp Of Manatee Pa | 5799016846 | 39 |
Entity Name | Smh Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
Entity Name | Dhp Of Manatee Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134771611 PECOS PAC ID: 5799016846 Enrollment ID: O20191004000172 |
Mailing Address | Practice Location Address |
---|---|
Dr James M Clark, MD 1001 E 2nd St Ste N, Coudersport, PA 16915-8161 Ph: (814) 274-7101 | Dr James M Clark, MD 1001 E 2nd St Ste N, Coudersport, PA 16915-8161 Ph: (814) 274-7101 |
Dr. Celso Luiz Backes, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-7101 Fax: 814-274-3251 | |
Dr. Mazen Rafic Fouany, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-7101 Fax: 814-274-3251 | |
Dr. Ethan Gable, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St Ste N, Coudersport, PA 16915 Phone: 814-274-7101 |