Dr Marc L Clark, MD | |
870 State Farm Rd, Ste 102, Boone, NC 28607-4861 | |
(828) 264-0029 | |
(828) 265-3305 |
Full Name | Dr Marc L Clark |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 44 Years |
Location | 870 State Farm Rd, Boone, North Carolina |
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 |
---|---|---|---|
1609982081 | NPI | - | NPPES |
62-1482379 | Other | TAX ID | |
3702765 | Other | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 16869 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeast Alabama Medical Center | Dothan, AL | Hospital |
Flowers Hospital | Dothan, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gut Pc | 3375589799 | 40 |
Entity Name | Gut Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073566006 PECOS PAC ID: 3375589799 Enrollment ID: O20050707000149 |
Mailing Address | Practice Location Address |
---|---|
Dr Marc L Clark, MD 870 State Farm Rd, Ste 102, Boone, NC 28607-4861 Ph: (828) 264-0029 | Dr Marc L Clark, MD 870 State Farm Rd, Ste 102, Boone, NC 28607-4861 Ph: (828) 264-0029 |
Dr. Laura B. Denouden- Dunn, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 614 Howard St, Boone, NC 28608 Phone: 828-262-3100 | |
Richard Rey Stark, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 148 Highway 105 Ext, Suite 104, Boone, NC 28607 Phone: 828-386-2746 Fax: 828-386-2750 | |
Dr. Marion Timothy Wells, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 336 Deerfield Rd, Boone, NC 28607 Phone: 828-264-9664 Fax: 828-262-4103 | |
Peter Thomas Ashline, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 175 Mary St, Boone, NC 28607 Phone: 828-264-9664 Fax: 828-264-8144 | |
Khurram Bilal Tariq, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 338 Deerfield Road, Boone, NC 28607 Phone: 828-262-4332 Fax: 828-265-5514 | |
Dr. Kevin W. Wolfe, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 136 Furman Rd, Suite 6, Boone, NC 28607 Phone: 828-268-1185 Fax: 828-265-8522 | |
Dr. Peter Joseph Haibach, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 136 Furman Rd, Suite 7, Boone, NC 28607 Phone: 828-262-0060 Fax: 828-262-0062 |