Dr John Douglas Clark, MD - Medicare Pulmonary Disease in Spartanburg, SC

Dr John Douglas Clark, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Spartanburg, South Carolina. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Pulmonary Disease. His current practice location is 2030 North Church Place, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 582-6858.

Dr John Douglas Clark is licensed to practice in South Carolina (license number 19596) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194798595.

Contact Information

Dr John Douglas Clark, MD
2030 North Church Place,
Spartanburg, SC 29303
(864) 582-6858
(864) 585-0999

Map and Direction




Physician's Profile

Full NameDr John Douglas Clark
GenderMale
SpecialityPulmonary Disease
Experience39 Years
Location2030 North Church Place, Spartanburg, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Douglas Clark attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1985
  NPI Data:
  • NPI Number: 1194798595
  • Provider Enumeration Date: 02/08/2006
  • Last Update Date: 12/28/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8426074238
  • Enrollment ID: I20051020000955

Medical Identifiers

Medical identifiers for Dr John Douglas Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194798595NPI-NPPES
T36609MedicaidSC
290011227OtherRAILROAD
290009501OtherRAILROAD
8688OtherSCMBPG'S

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 19596 (South Carolina)Secondary
207R00000XInternal Medicine 19596 (South Carolina)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 19596 (South Carolina)Primary
207RS0012XInternal Medicine - Sleep Medicine 19596 (South Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spartanburg Medical CenterSpartanburg, SCHospital
Pelham Medical CenterGreer, SCHospital
Cherokee Medical CenterGaffney, SCHospital

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 John Douglas Clark allows following entities to bill medicare on his behalf.
Entity NameJ Douglas Clark Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730229808
PECOS PAC ID: 7315195609
Enrollment ID: O20120911000534

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 John Douglas 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 AddressPractice Location Address
Dr John Douglas Clark, MD
Po Box 4276,
Spartanburg, SC 29305

Ph: (864) 582-6858
Dr John Douglas Clark, MD
2030 North Church Place,
Spartanburg, SC 29303

Ph: (864) 582-6858

Reviews and Comments


Internal Medicine Doctors in Spartanburg, SC

Dr. Tondre Buck, M.D.
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Phone: 864-560-7050    Fax: 864-560-0800
Adam Evec, DO
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Phone: 864-560-4304    Fax: 864-560-4023
Larry E Kibler, M.D.
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Phone: 864-583-8647    Fax: 864-542-2227
Dr. Vikas Dembla, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 101 E Wood St, Spartanburg, SC 29303
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Dr. Andrew Omoit Ekatan, M.D.
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Medicare: Accepting Medicare Assignments
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Stetson Reed Bickley, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6522    Fax: 888-972-8644
Nalin K Srivastava, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303
Phone: 864-583-8647    Fax: 864-542-2227

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.