Dr John D Clark, MD | |
1340 S 18th St Ste 104, Fernandina Beach, FL 32034-4733 | |
(904) 277-3311 | |
(904) 277-3343 |
Full Name | Dr John D Clark |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 34 Years |
Location | 1340 S 18th St Ste 104, Fernandina Beach, Florida |
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 |
---|---|---|---|
1235166943 | NPI | - | NPPES |
200300630A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 04-23864 (Kansas) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | ME169258 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Caregivers Home Health | Topeka, KS | Home health agency |
Lawrence Memorial Hospital | Lawrence, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lawrence Physicians Llc | 1951623834 | 180 |
Entity Name | Lawrence Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841607090 PECOS PAC ID: 1951623834 Enrollment ID: O20141203002058 |
Mailing Address | Practice Location Address |
---|---|
Dr John D Clark, MD Po Box 746649, Atlanta, GA 30374-6649 Ph: (904) 202-2092 | Dr John D Clark, MD 1340 S 18th St Ste 104, Fernandina Beach, FL 32034-4733 Ph: (904) 277-3311 |
Dr. Michael Adam Gebel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1340 S 18th St Ste 104, Fernandina Beach, FL 32034 Phone: 904-376-3707 Fax: 904-391-5001 | |
Dr. Gregory Devon Miller, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4856 First Coast Hwy Ste 1, Fernandina Beach, FL 32034 Phone: 904-229-5038 Fax: 904-592-5343 | |
Dr. Carly J Miller, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1865 Lime St, Suite 100, Fernandina Beach, FL 32034 Phone: 904-321-8400 Fax: 904-321-8401 | |
Timothy D Lucey, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1340 S 18th St Ste 104, Fernandina Beach, FL 32034 Phone: 904-277-3311 Fax: 904-390-7438 |