Dr Justin Wayne Clark, MD | |
3601 22nd St, Lubbock Dermatology, Lubbock, TX 79410-1309 | |
(806) 796-7193 | |
(806) 796-0034 |
Full Name | Dr Justin Wayne Clark |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 28 Years |
Location | 3601 22nd St, Lubbock, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639164098 | NPI | - | NPPES |
120680701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | K4662 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Covenant Medical Center | Lubbock, TX | Hospital |
Covenant Childrens Hospital | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lubbock Dermatology And Skin Cancer Center | 9032128053 | 5 |
Entity Name | Lubbock Dermatology And Skin Cancer Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295721066 PECOS PAC ID: 9032128053 Enrollment ID: O20060419000195 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Wayne Clark, MD 3601 22nd St, Lubbock, TX 79410-1309 Ph: (806) 796-7193 | Dr Justin Wayne Clark, MD 3601 22nd St, Lubbock Dermatology, Lubbock, TX 79410-1309 Ph: (806) 796-7193 |
Dr. Brent R. Paulger, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2202 Ithaca Ave, Lubbock, TX 79410 Phone: 806-797-1202 Fax: 806-797-4854 | |
Dr. Bryan Harris, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3715 21st St, Lubbock, TX 79410 Phone: 806-795-0610 Fax: 806-795-0602 | |
Ashley Sturgeon, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2202 Ithaca Ave, Lubbock, TX 79410 Phone: 806-797-1202 Fax: 806-797-4854 | |
Dr. Michael David Long, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6012 82nd St Ste 15, Lubbock, TX 79424 Phone: 806-749-7933 Fax: 806-749-6117 | |
Michelle Babb Tarbox, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Department Of Dermatology, Lubbock, TX 79430 Phone: 806-743-1842 Fax: 806-743-2933 | |
Dr. Amy Rocky Brackeen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4709 66th St, Lubbock, TX 79414 Phone: 806-701-5844 Fax: 806-701-5845 | |
Dr. Richard H Hope, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3601 22nd St, Lubbock, TX 79410 Phone: 806-796-7193 Fax: 809-796-0034 |