Dr Mabelen S Clark, MD in Vista, CA - Medicare Family Practice

Dr Mabelen S Clark, MD is a medicare enrolled "Family Medicine" physician in Vista, California. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. Her current practice location is 1954 Via Ctr Ste B, Vista, California. You can reach out to her office (for appointments etc.) via phone at (760) 529-9700.

Dr Mabelen S Clark is licensed to practice in California (license number A100202) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194791178.

Contact Information

	Dr Mabelen S Clark, MD
	1954 Via Ctr Ste B, Vista, CA 92081-6056
	(760) 529-9700
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mabelen S Clark
Gender	Female
Speciality	Family Practice
Experience	28 Years
Location	1954 Via Ctr Ste B, Vista, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mabelen S Clark graduated from medical school in 1996

NPI Data:

NPI Number: 1194791178
Provider Enumeration Date: 02/28/2006
Last Update Date: 05/10/2024

Medicare PECOS Information:

PECOS PAC ID: 2567414576
Enrollment ID: I20080417000182

Medical Identifiers

Medical identifiers for Dr Mabelen S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194791178	NPI	-	NPPES
209071109	Medicaid	MO
EG9762	Other		MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036-104581 (Illinois)	Secondary
207Q00000X	Family Medicine	2004025497 (Missouri)	Secondary
207Q00000X	Family Medicine	A100202 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tri-city Medical Center	Oceanside, CA	Hospital
Uc San Diego Health Hillcrest - Hillcrest Med Ctr	San diego, CA	Hospital

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 Mabelen S Clark allows following entities to bill medicare on her behalf.

Entity Name	Sjc Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437466521 PECOS PAC ID: 7517156284 Enrollment ID: O20110111000683

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 Mabelen S 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 Mabelen S Clark, MD 1954 Via Ctr Ste B, Vista, CA 92081-6056 Ph: (760) 529-9700	Dr Mabelen S Clark, MD 1954 Via Ctr Ste B, Vista, CA 92081-6056 Ph: (760) 529-9700

Reviews and Comments

Family Medicine Doctors in Vista, CA

Mary C. Cueva, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 S Melrose Dr Ste 200, Vista, CA 92081 Phone: 866-228-2236 Fax: 760-330-9331
James V. Chabala, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 Townsite Dr, Vista, CA 92084 Phone: 760-630-2422
Kristina Lepard, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 204 S Santa Fe Ave, Vista, CA 92084 Phone: 760-941-8888
Mrs. Deisha Malones Wilson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Thunder Dr, Vista, CA 92083 Phone: 760-941-9002 Fax: 760-630-2515
Ms. Juvy Escalante, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 S Santa Fe Ave, Vista, CA 92084 Phone: 760-473-0444
Alexander Shaft, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-806-5431
Sophia Le Bradley, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-806-5500

Dr Mabelen S Clark, MD - Medicare Family Practice in Vista, CA