Dr Michael Lee Clark, DO - Medicare Diagnostic Radiology in Fort Myers, FL

Dr Michael Lee Clark, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Myers, Florida. He graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Millennium Physician Group Llc and his current practice location is 13813 Metro Pkwy, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (855) 674-4624.

Dr Michael Lee Clark is licensed to practice in Florida (license number OS13601) 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 1457662280.

Contact Information

Dr Michael Lee Clark, DO
13813 Metro Pkwy,
Fort Myers, FL 33912-4343
(855) 674-4624
(941) 883-8386

Map and Direction




Physician's Profile

Full NameDr Michael Lee Clark
GenderMale
SpecialityDiagnostic Radiology
Experience15 Years
Location13813 Metro Pkwy, Fort Myers, Florida
Accepts Medicare AssignmentsYes. 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 Lee Clark graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1457662280
  • Provider Enumeration Date: 06/26/2010
  • Last Update Date: 01/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143536847
  • Enrollment ID: I20161102001846

Medical Identifiers

Medical identifiers for Dr Michael Lee Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457662280NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 036132955 (Illinois)Secondary
2085R0202XRadiology - Diagnostic Radiology OS13601 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Millennium Physician Group Llc9830244433789

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 Michael Lee Clark allows following entities to bill medicare on his behalf.
Entity NameMillennium Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811122880
PECOS PAC ID: 9830244433
Enrollment ID: O20090903000338

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 Lee 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 AddressPractice Location Address
Dr Michael Lee Clark, DO
2675 Winkler Ave Fl 2,
Fort Myers, FL 33901-9342

Ph: (877) 856-3774
Dr Michael Lee Clark, DO
13813 Metro Pkwy,
Fort Myers, FL 33912-4343

Ph: (855) 674-4624

Reviews and Comments


Radiology Doctors in Fort Myers, FL

Stuart A Bobman, MD
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Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912
Phone: 239-936-2316    
Victor H Gregory, DO
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Dr. Mai F Saif, MD
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Phone: 239-938-3500    Fax: 239-278-0588
Dr. Thomas Anderson Elkins, D.O.
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Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912
Phone: 239-936-4068    Fax: 239-936-6989
Mitchell Martinez, MD
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Medicare: Medicare Enrolled
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Phone: 239-936-2316    Fax: 239-834-6106
Peter H. Blitzer, MD
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Medicare: Not Enrolled in Medicare
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Phone: 239-489-3420    Fax: 239-489-3219
Dr. Michael J Weiss, MD
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Medicare: May Accept Medicare Assignments
Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907
Phone: 239-938-3500    Fax: 239-278-0588

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.