Dr Matthew Taylor Clark, MD is a medicare enrolled "Allergy & Immunology" physician in North Augusta, South Carolina. He went to Medical College Of Georgia School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Allergy/immunology. His current practice location is
616 Edgefield Rd, Suite 180, North Augusta, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 279-7666.
Dr Matthew Taylor Clark is licensed to practice in Georgia (license number 057156) 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 1053433250.
Physician's Profile
| Full Name | Dr Matthew Taylor Clark |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 29 Years |
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| Location | 616 Edgefield Rd, North Augusta, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Matthew Taylor Clark attended and graduated from Medical College Of Georgia School Of Medicine in 1995
NPI Data:
- NPI Number: 1053433250
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 07/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 5193893832
- Enrollment ID: I20081007000756
Medical Identifiers
Medical identifiers for Dr Matthew Taylor Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053433250 | NPI | - | NPPES |
| 1053433250 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 057156 (Georgia) | 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 Matthew Taylor Clark allows following entities to bill medicare on his behalf.
| Entity Name | Covenant Family Allergy Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205002888
PECOS PAC ID: 0244394849
Enrollment ID: O20090127000159 |
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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 Matthew Taylor 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 |
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Dr Matthew Taylor Clark, MD
130 Allen Ct,
North Augusta, SC 29860-9782
Ph: (803) 279-7666 | Dr Matthew Taylor Clark, MD
616 Edgefield Rd, Suite 180,
North Augusta, SC 29841-1938
Ph: (803) 279-7666 |
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