Dr Michael Jonathan Clark, MD is a medicare enrolled "Otolaryngology" physician in Venice, Florida. His current practice location is
420 Nokomis Ave S, Venice, Florida. You can reach out to his office (for appointments etc.) via phone at
(941) 355-2767.
Dr Michael Jonathan Clark is licensed to practice in Pennsylvania (license number MT186642) 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 1619134970.
Physician's Profile
| Full Name | Dr Michael Jonathan Clark |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 420 Nokomis Ave S, Venice, Florida |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Michael Jonathan Clark attended and graduated from in
NPI Data:
- NPI Number: 1619134970
- Provider Enumeration Date: 05/22/2008
- Last Update Date: 10/28/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Michael Jonathan Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619134970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | MT186642 (Pennsylvania) | Primary |
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 Michael Jonathan 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 Michael Jonathan Clark, MD
2401 University Pkwy Ste 102,
Sarasota, FL 34243-2894
Ph: (941) 355-2767 | Dr Michael Jonathan Clark, MD
420 Nokomis Ave S,
Venice, FL 34285-2617
Ph: (941) 355-2767 |
Reviews and Comments