Dr John Robert Clark, MD in Coldwater, MI - Medicare Obstetrics/gynecology

Dr John Robert Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Coldwater, Michigan. He went to University Of Kentucky College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Community Health Center Of Branch County and 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.

Contact Information

	Dr John Robert Clark, MD
	370 E Chicago St Ste 400, Coldwater, MI 49036-2062
	(517) 279-8465
	(517) 279-8665

Map and Direction

Physician's Profile

Full Name	Dr John Robert Clark
Gender	Male
Speciality	Obstetrics/gynecology
Experience	40 Years
Location	370 E Chicago St Ste 400, Coldwater, Michigan
Accepts Medicare Assignments	Yes. 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 Robert Clark attended and graduated from University Of Kentucky College Of Medicine in 1984

NPI Data:

NPI Number: 1457353575
Provider Enumeration Date: 08/10/2005
Last Update Date: 08/12/2024

Medicare PECOS Information:

PECOS PAC ID: 2264342930
Enrollment ID: I20101208000422

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Promedica Coldwater Regional Hospital	Coldwater, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Health Center Of Branch County	9335037514	47

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 Robert Clark allows following entities to bill medicare on his behalf.

Entity Name	Community Health Center Of Branch County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124055009 PECOS PAC ID: 9335037514 Enrollment ID: O20040309000671

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

Reviews and Comments

Obstetrics & Gynecology Doctors in Coldwater, MI

Vangala A. Reddy, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 235 E Chicago St, Coldwater, MI 49036 Phone: 517-279-8465 Fax: 517-279-8665
Dr. Sabeena Pradhan, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 360 E Chicago St, Suite F, Coldwater, MI 49036 Phone: 517-278-6929 Fax: 517-278-1810
Edward C. Lake Jr., M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 235 E Chicago St, Coldwater, MI 49036 Phone: 517-279-8465 Fax: 517-279-8665

Dr John Robert Clark, MD - Medicare Obstetrics/gynecology in Coldwater, MI