Dr Nicholas William Clark, MD is a medicare enrolled "Otolaryngology" physician in Sandy Springs, Georgia. His current practice location is
6085 Barfield Rd Ste 100, Sandy Springs, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 457-6303.
Dr Nicholas William Clark is licensed to practice in Georgia (license number 99942) 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 1386106201.
Physician's Profile
| Full Name | Dr Nicholas William Clark |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 6085 Barfield Rd Ste 100, Sandy Springs, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386106201
- Provider Enumeration Date: 04/01/2019
- Last Update Date: 06/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870037286
- Enrollment ID: I20240626003294
Medical Identifiers
Medical identifiers for Dr Nicholas William Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386106201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 249966 (North Carolina) | Secondary |
| 207Y00000X | Otolaryngology | 99942 (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 Nicholas William Clark allows following entities to bill medicare on his behalf.
| Entity Name | The Emory Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503 |
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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 Nicholas William 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 Nicholas William Clark, MD
6085 Barfield Rd Ste 100,
Sandy Springs, GA 30328-4403
Ph: () - | Dr Nicholas William Clark, MD
6085 Barfield Rd Ste 100,
Sandy Springs, GA 30328-4403
Ph: (770) 457-6303 |
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