Dr Joseph Huston Clark, MD in Greensboro, NC

Dr Joseph Huston Clark, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Greensboro, North Carolina. His current practice location is 301 E Wendover Ave, Ste 311, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 272-6161.

Dr Joseph Huston Clark is licensed to practice in North Carolina (license number 200500021) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194773457.

Contact Information

	Dr Joseph Huston Clark, MD
	301 E Wendover Ave, Ste 311, Greensboro, NC 27401-1230
	(336) 272-6161
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Joseph Huston Clark
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	301 E Wendover Ave, Greensboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194773457
Provider Enumeration Date: 05/05/2006
Last Update Date: 04/15/2013

Medicare PECOS Information:

PECOS PAC ID: 6406870542
Enrollment ID: I20170919000098

Medical Identifiers

Medical identifiers for Dr Joseph Huston Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194773457	NPI	-	NPPES
5900510	Medicaid	NC
1386T	Other	NC	BCBS NC
4304710	Other	NC	AETNA
B1041	Other	NC	MEDCOST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	200500021 (North Carolina)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	200500021 (North Carolina)	Primary

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 Joseph Huston Clark allows following entities to bill medicare on his behalf.

Entity Name	Obstetrics And Pediatrics Subspecialty Group Of Kansas And Missouri Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225051618 PECOS PAC ID: 7214009851 Enrollment ID: O20080626000487

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 Joseph Huston 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 Joseph Huston Clark, MD 301 E Wendover Ave, Ste 311, Greensboro, NC 27401-1230 Ph: (336) 272-6161	Dr Joseph Huston Clark, MD 301 E Wendover Ave, Ste 311, Greensboro, NC 27401-1230 Ph: (336) 272-6161

Reviews and Comments

Pediatrics Doctors in Greensboro, NC

Dr. Shruti Vijaya Simha, M.D., M.P.H Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 E Wendover Ave, Ste 400, Greensboro, NC 27401 Phone: 336-832-3150 Fax: 336-832-3151
Dr. Perry Scott Agbuya Jr., D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 719 Green Valley Rd Ste 209, Greensboro, NC 27408 Phone: 336-272-9447
Denise Perez-fiery, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 E Wendover Ave, Ste 400, Greensboro, NC 27401 Phone: 336-832-3150
Nicole C Chandler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 E Wendover Ave, Ste 400, Greensboro, NC 27401 Phone: 336-832-3150 Fax: 336-832-3151
William Albert Dalkin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1121 N Church St, Greensboro, NC 27401 Phone: 336-207-7005
Madison Nation Botts, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2707 Henry St, Greensboro, NC 27405 Phone: 336-574-4280 Fax: 336-574-4634
Dr. Jessica Jane Sibley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1121 N Church St, Greensboro, NC 27401 Phone: 336-832-6500

Dr Joseph Huston Clark, MD - Medicare Pediatrics in Greensboro, NC