Dr Mary Elizabeth Revilla Clark, MD in San Francisco, CA

Dr Mary Elizabeth Revilla Clark, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in San Francisco, California. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 2333 Buchanan St, Suite 5823, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (415) 644-5752.

Dr Mary Elizabeth Revilla Clark is licensed to practice in California (license number A98304) 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 1225109770.

Contact Information

	Dr Mary Elizabeth Revilla Clark, MD
	2333 Buchanan St, Suite 5823, San Francisco, CA 94115-1925
	(415) 644-5752
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mary Elizabeth Revilla Clark
Gender	Female
Speciality	Gastroenterology
Experience	23 Years
Location	2333 Buchanan St, San Francisco, 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 Mary Elizabeth Revilla Clark graduated from medical school in 2001

NPI Data:

NPI Number: 1225109770
Provider Enumeration Date: 11/13/2006
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 7517996358
Enrollment ID: I20101029000328

Medical Identifiers

Medical identifiers for Dr Mary Elizabeth Revilla Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225109770	NPI	-	NPPES
A98304	Other	CA	CALIFORNIA STATE LICENSE
MD-12890	Other	HI	HAWAII MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	A98304 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Antioch	Antioch, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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 Mary Elizabeth Revilla Clark allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Mary Elizabeth Revilla 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 Mary Elizabeth Revilla Clark, MD 2333 Buchanan St, Suite 5823, San Francisco, CA 94115-1925 Ph: (415) 644-5752	Dr Mary Elizabeth Revilla Clark, MD 2333 Buchanan St, Suite 5823, San Francisco, CA 94115-1925 Ph: (415) 644-5752

Reviews and Comments

Internal Medicine Doctors in San Francisco, CA

Dr. Shannon Walker, Gastroenterology Medicare: Medicare Enrolled Practice Location: 112 Parnassus Ave Apt 4, San Francisco, CA 94117 Phone: 571-271-8343
Dr. Pratyusha Kishore Narra, MBBS Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3490 California St, San Francisco, CA 94118 Phone: 415-514-6200 Fax: 415-514-6410
Dr. Chelsea Joy Thomsen, M.D., M.S.P.H Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2 W Portal Ave, San Francisco, CA 94127 Phone: 415-291-0480
Christine Soran, Gastroenterology Medicare: Medicare Enrolled Practice Location: 1001 Potrero Ave, Bldg 10, 3rd Floor, Ward 13, Ucsf Division Of General Internal Medicine Sfgh, San Francisco, CA 94110 Phone: 415-206-5164 Fax: 415-206-5586
Stephen Norris Cohen, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 40 Ventura Ave, San Francisco, CA 94116 Phone: 415-681-2171 Fax: 415-681-2171
Mauricio Jalife Bucay, M.D Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 505 Parnassus Ave, San Francisco, CA 94143 Phone: 415-750-4994 Fax: 415-750-8156
Dr. Adriana A.t. Martin, M.D., PH.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 505 Parnassus Ave, San Francisco, CA 94143 Phone: 415-514-7288

Dr Mary Elizabeth Revilla Clark, MD - Medicare Gastroenterology in San Francisco, CA