Dr Perrin C Clark, MD - Medicare Otolaryngology in Ormond Beach, FL

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Dr Perrin C Clark, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Ormond Beach, Florida. He went to Temple University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Coastal Ear Nose And Throat Pa and his current practice location is 1050 W Granada Blvd, Suite 4, Ormond Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 677-8808.

Dr Perrin C Clark is licensed to practice in Texas (license number N2444) 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 1194796128.

Contact Information

Dr Perrin C Clark, MD
1050 W Granada Blvd, Suite 4,
Ormond Beach, FL 32174-8154
(386) 677-8808
(386) 677-9919

Map and Direction




Physician's Profile

Full NameDr Perrin C Clark
GenderMale
SpecialityOtolaryngology
Experience27 Years
Location1050 W Granada Blvd, Ormond Beach, 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 Perrin C Clark attended and graduated from Temple University School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1194796128
  • Provider Enumeration Date: 01/28/2006
  • Last Update Date: 04/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961533161
  • Enrollment ID: I20160831002034

Medical Identifiers

Medical identifiers for Dr Perrin C Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194796128NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery N2444 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth New Smyrna BeachNew smyrna beach, FLHospital
Halifax Health Medical CenterDaytona beach, FLHospital
Florida Hospital FlaglerPalm coast, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coastal Ear Nose And Throat Pa79110836967

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 Perrin C Clark allows following entities to bill medicare on his behalf.
Entity NameFlorida Ent Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184625733
PECOS PAC ID: 4587556923
Enrollment ID: O20040329001213
Entity NameCoastal Ear Nose & Throat Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265417729
PECOS PAC ID: 7911083696
Enrollment ID: O20080320000299

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 Perrin C 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 Perrin C Clark, MD
15280 Nw 79th Ct Ste 200,
Miami Lakes, FL 33016-5873

Ph: (305) 558-3732		Dr Perrin C Clark, MD
1050 W Granada Blvd, Suite 4,
Ormond Beach, FL 32174-8154

Ph: (386) 677-8808

Reviews and Comments


Otolaryngology Doctors in Ormond Beach, FL

James Michael Craven, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 1050 W Granada Blvd, Suite 4, Ormond Beach, FL 32174
Phone: 386-677-8808    Fax: 386-677-2134
Dr. Jane T Dillon, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1050 W Granada Blvd Ste 4, Ormond Beach, FL 32174
Phone: 386-677-8808    Fax: 386-677-9919

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.