Dr Mark Daniel Clark, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Norton Shores, Michigan. His current practice location is
3735 Norton Hills Rd, Norton Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 780-0484.
Dr Mark Daniel Clark is licensed to practice in Michigan (license number 4301055514) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205989605.
Physician's Profile
Full Name | Dr Mark Daniel Clark |
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Gender | Male |
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Speciality | Pain Medicine - Pain Medicine |
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Location | 3735 Norton Hills Rd, Norton Shores, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205989605
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 11/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204811748
- Enrollment ID: I20040621000351
Medical Identifiers
Medical identifiers for Dr Mark Daniel Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205989605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | 4301055514 (Michigan) | Secondary |
208D00000X | General Practice | 4301055514 (Michigan) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301055514 (Michigan) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | 4301055514 (Michigan) | Primary |
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 Mark Daniel Clark allows following entities to bill medicare on his behalf.
Entity Name | Michigan Primary Care Partners P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366497380 PECOS PAC ID: 8527044551 Enrollment ID: O20040629000594 |
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Entity Name | Samaritan Health Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598234056 PECOS PAC ID: 1254677719 Enrollment ID: O20190104001298 |
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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 Mark Daniel 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 Mark Daniel Clark, MD 3735 Norton Hills Rd, Norton Shores, MI 49441-4469 Ph: (231) 780-0484 | Dr Mark Daniel Clark, MD 3735 Norton Hills Rd, Norton Shores, MI 49441-4469 Ph: (231) 780-0484 |
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