Dr John Glenn Clark, is a
Orthopaedic Surgery physician based in Bath, Maine. Dr John Glenn Clark is licensed to practice in Maine (license number 016756) and his current practice location is 111 Whiskeag Rd, Bath, Maine. He can be reached at his office (for appointments etc.) via phone at
(909) 435-0066.
NPI number for Dr John Glenn Clark is 1164625653 and his current mailing address is 111 Whiskeag Rd, Bath, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164625653.
Physician's Profile
| Full Name | Dr John Glenn Clark |
|---|
| Gender | Male |
|---|
| Speciality | Orthopaedic Surgery |
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| Location | 111 Whiskeag Rd, Bath, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164625653
- Provider Enumeration Date: 06/11/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr John Glenn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164625653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 016756 (Maine) | Primary |
| 207X00000X | Orthopaedic Surgery | A60772 (California) | Secondary |
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 Glenn Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Glenn Clark,
111 Whiskeag Rd,
Bath, ME 04530-4127
Ph: (909) 435-0066 | Dr John Glenn Clark,
111 Whiskeag Rd,
Bath, ME 04530-4127
Ph: (909) 435-0066 |
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