Dr John Robert Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Coldwater, Michigan. His current practice location is
370 E Chicago St Ste 400, Coldwater, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 279-8465.
Dr John Robert Clark is licensed to practice in Michigan (license number JC062758) 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 1457353575.
Physician's Profile
| Full Name | Dr John Robert Clark |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 370 E Chicago St Ste 400, Coldwater, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr John Robert Clark attended and graduated from in
NPI Data:
- NPI Number: 1457353575
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr John Robert Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457353575 | NPI | - | NPPES |
| 3044976 | Medicaid | MI | |
| 1607527581 | Other | MI | BLUE CROSS BLUE SHIELD |
| P89384 | Other | MI | BLUE CARE NETWORK |
| 07-30237 | Other | MI | IBA/PHP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 01044745A (Indiana) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 6766 (North Dakota) | Secondary |
| 207V00000X | Obstetrics & Gynecology | JC062758 (Michigan) | Primary |
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 Robert 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 Address | Practice Location Address |
|---|
Dr John Robert Clark, MD
274 E Chicago St,
Coldwater, MI 49036-2041
Ph: (517) 279-8465 | Dr John Robert Clark, MD
370 E Chicago St Ste 400,
Coldwater, MI 49036-2062
Ph: (517) 279-8465 |
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