Dr Paul Ray Clark, MD in San Diego, CA

Dr Paul Ray Clark, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in San Diego, California. His current practice location is 11515 El Camino Real Ste 150, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 720-1440.

Dr Paul Ray Clark is licensed to practice in California (license number A18267) 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 1619362597.

Contact Information

	Dr Paul Ray Clark, MD
	11515 El Camino Real Ste 150, San Diego, CA 92130-3037
	(858) 720-1440
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Paul Ray Clark
Gender	Male
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	11515 El Camino Real Ste 150, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619362597
Provider Enumeration Date: 03/30/2015
Last Update Date: 03/05/2024

Medicare PECOS Information:

PECOS PAC ID: 5991143463
Enrollment ID: I20240403000081

Medical Identifiers

Medical identifiers for Dr Paul Ray Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619362597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	A18267 (California)	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 Paul Ray Clark allows following entities to bill medicare on his behalf.

Entity Name	Health Allies Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710652243 PECOS PAC ID: 8527458389 Enrollment ID: O20211209001845

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 Paul Ray 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 Paul Ray Clark, MD 6431 Fannin St, Msb 4.331, Houston, TX 77030-1501 Ph: (713) 500-7216	Dr Paul Ray Clark, MD 11515 El Camino Real Ste 150, San Diego, CA 92130-3037 Ph: (858) 720-1440

Reviews and Comments

Surgery Doctors in San Diego, CA

Dr. Samuel R Obiekwe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 W G St # 315, San Diego, CA 92101 Phone: 909-816-1032
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Mathias John Kill, MD Surgery Medicare: Medicare Enrolled Practice Location: 34730 Bob Wilson Dr, General Surgery Department, San Diego, CA 92134 Phone: 619-532-7575 Fax: 619-532-7673
Scott E. Greenway, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Dr. Kristian L. Brown, M.D., PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, Suite 250, San Diego, CA 92123 Phone: 858-637-4800 Fax: 858-637-4801
Dr. Robert J Manly, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8010 Frost St, San Diego, CA 92123 Phone: 858-939-8350 Fax: 858-939-8360
Dr. Michael Bouvet, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Ucsd Medical Center, San Diego, CA 92103 Phone: 858-822-6191 Fax: 858-822-6192

Dr Paul Ray Clark, MD - Medicare Surgery in San Diego, CA