Dr Kirby P Clark, MD - Medicare Diagnostic Radiology in Waterloo, IA

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Dr Kirby P Clark, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Waterloo, Iowa. He went to University Of Michigan Medical School and graduated in 1995 and has 30 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Cedar Valley Medical Specialists Pc and his current practice location is 4006 Johnathan St, Waterloo, Iowa. You can reach out to his office (for appointments etc.) via phone at (319) 236-2700.

Dr Kirby P Clark is licensed to practice in Iowa (license number 35956) 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 1407893795.

Contact Information

Dr Kirby P Clark, MD
4006 Johnathan St,
Waterloo, IA 50701-9387
(319) 236-2700
Not Available

Map and Direction




Physician's Profile

Full NameDr Kirby P Clark
GenderMale
SpecialityDiagnostic Radiology
Experience30 Years
Location4006 Johnathan St, Waterloo, Iowa
Accepts Medicare AssignmentsYes. 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 Kirby P Clark attended and graduated from University Of Michigan Medical School in 1995
  NPI Data:
  • NPI Number: 1407893795
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 11/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082688114
  • Enrollment ID: I20091203000719

Medical Identifiers

Medical identifiers for Dr Kirby P Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407893795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 42049-20 (Wisconsin)Secondary
2085R0202XRadiology - Diagnostic Radiology 036126457 (Illinois)Secondary
2085R0202XRadiology - Diagnostic Radiology 35956 (Iowa)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cedar Valley Medical Specialists Pc1759291487104

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 Kirby P Clark allows following entities to bill medicare on his behalf.
Entity NameCedar Valley Medical Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497794242
PECOS PAC ID: 1759291487
Enrollment ID: O20031208000462
Entity NamePeoples Community Health Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629684709
PECOS PAC ID: 6406746668
Enrollment ID: O20040319000493

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 Kirby P 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 AddressPractice Location Address
Dr Kirby P Clark, MD
Po Box 2758,
Waterloo, IA 50704-2758

Ph: (319) 235-5390		Dr Kirby P Clark, MD
4006 Johnathan St,
Waterloo, IA 50701-9387

Ph: (319) 236-2700

Reviews and Comments


Radiology Doctors in Waterloo, IA

James Vincent Connell Jr., M.D.
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Practice Location: 1825 Logan Ave, Waterloo, IA 50703
Phone: 319-235-3716    Fax: 319-233-1630
Vandana Jain, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 200 E Ridgeway Ave, Waterloo, IA 50702
Phone: 319-272-2800    Fax: 319-272-2807
Greg Evan Raecker, DO
Radiology
Medicare: Medicare Enrolled
Practice Location: 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701
Phone: 319-833-6001    Fax: 319-833-6003
Cassandra S Foens, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 200 E Ridgeway Ave, Waterloo, IA 50702
Phone: 319-272-2800    Fax: 319-272-2807
Lawrence Arthur Liebscher, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701
Phone: 319-833-6001    Fax: 319-833-6003
Wayne Leroy Ventling Ii, DO
Radiology
Medicare: Medicare Enrolled
Practice Location: 4150 Kimball Avenue, Waterloo, IA 50701
Phone: 219-235-5390    Fax: 319-233-1630
Stephen Dale Frazier, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1825 Logan Ave, Waterloo, IA 50703
Phone: 319-235-3716    Fax: 319-233-1630

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.