Dr Leon Gordon Clark Jr, MD in Rancho Mirage, CA

Dr Leon Gordon Clark Jr, MD is a medicare enrolled "Dermatology" physician in Rancho Mirage, California. He went to Mayo Medical School and graduated in 2016 and has 9 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Alameda Health System and his current practice location is 39000 Bob Hope Dr, Rancho Mirage, California. You can reach out to his office (for appointments etc.) via phone at (760) 340-8248.

Dr Leon Gordon Clark Jr is licensed to practice in California (license number A153921) 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 1487004370.

Contact Information

	Dr Leon Gordon Clark Jr, MD
	39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221
	(760) 340-8248
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Leon Gordon Clark Jr
Gender	Male
Speciality	Dermatology
Experience	9 Years
Location	39000 Bob Hope Dr, Rancho Mirage, California
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 Leon Gordon Clark Jr attended and graduated from Mayo Medical School in 2016

NPI Data:

NPI Number: 1487004370
Provider Enumeration Date: 06/21/2016
Last Update Date: 10/11/2020

Medicare PECOS Information:

PECOS PAC ID: 1759644339
Enrollment ID: I20200922002502

Medical Identifiers

Medical identifiers for Dr Leon Gordon Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487004370	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A153921 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Highland Hospital	Oakland, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Alameda Health System	3779494521	533

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 Leon Gordon Clark Jr allows following entities to bill medicare on his behalf.

Entity Name	Alameda Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

Entity Name	University Of California Sfgh Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164497285 PECOS PAC ID: 5496668410 Enrollment ID: O20041015000522

Entity Name	City & County Of San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982737524 PECOS PAC ID: 1658280748 Enrollment ID: O20050309000770

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 Leon Gordon Clark Jr 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 Leon Gordon Clark Jr, MD 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 Ph: (760) 340-8248	Dr Leon Gordon Clark Jr, MD 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 Ph: (760) 340-8248

Reviews and Comments

Dermatology Doctors in Rancho Mirage, CA

Dr. David Martin Morrow, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 69780 Stellar Dr, Rancho Mirage, CA 92270 Phone: 760-202-2770 Fax: 760-202-4676
Dr. Timothy Mark Jochen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 42600 Mirage Rd, Bldg A1, Rancho Mirage, CA 92270 Phone: 760-416-6971 Fax: 760-318-8103
Christian Jordan, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 42600 Mirage Rd, Rancho Mirage, CA 92270 Phone: 760-423-4000
Dr. Keyan Matinpour, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8542 Fax: 760-837-8543
Carrie Davidson, PA Dermatology Medicare: Medicare Enrolled Practice Location: 35200 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-328-8884
Dr. Wendy Eileen Roberts, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 39700 Bob Hope Dr, Suite 115, Rancho Mirage, CA 92270 Phone: 760-346-4262 Fax: 760-340-9892

Dr Leon Gordon Clark Jr, MD - Medicare Dermatology in Rancho Mirage, CA