Dr Peter J Clark, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Bedminster, New Jersey. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2009 and has 15 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Summit Medical Group Pa and his current practice location is
1 Robertson Dr, Bedminster, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(908) 277-8900.
Dr Peter J Clark is licensed to practice in New Jersey (license number 25MB09216800) 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 1164664967.
Physician's Profile
| Full Name | Dr Peter J Clark |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 15 Years |
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| Location | 1 Robertson Dr, Bedminster, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Peter J Clark attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2009
NPI Data:
- NPI Number: 1164664967
- Provider Enumeration Date: 03/25/2009
- Last Update Date: 07/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082918917
- Enrollment ID: I20160212000753
Medical Identifiers
Medical identifiers for Dr Peter J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164664967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MB09216800 (New Jersey) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 25MB09216800 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Summit Medical Group Pa | 5395642276 | 1247 |
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 Peter J Clark allows following entities to bill medicare on his behalf.
| Entity Name | Summit Medical Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011 |
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| Entity Name | Practice Associates Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690 |
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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 Peter J 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 Peter J Clark, DO
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104
Ph: (908) 273-4300 | Dr Peter J Clark, DO
1 Robertson Dr,
Bedminster, NJ 07921-1716
Ph: (908) 277-8900 |
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