Dr Ralph Warner Clark, MD in Loma Linda, CA - Medicare Preventive Medicine

Dr Ralph Warner Clark, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Loma Linda, California. His current practice location is 11201 Benton St, 116a/main, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 825-7084.

Dr Ralph Warner Clark is licensed to practice in California (license number A111705) 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 1336317239.

Contact Information

	Dr Ralph Warner Clark, MD
	11201 Benton St, 116a/main, Loma Linda, CA 92357-1000
	(909) 825-7084
	(909) 422-3168

Map and Direction

Physician's Profile

Full Name	Dr Ralph Warner Clark
Gender	Male
Speciality	Preventive Medicine - Addiction Medicine
Location	11201 Benton St, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336317239
Provider Enumeration Date: 02/13/2008
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 1759702806
Enrollment ID: I20200528001920

Medical Identifiers

Medical identifiers for Dr Ralph Warner Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336317239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	A111705 (California)	Secondary
2083A0300X	Preventive Medicine - Addiction Medicine	A111705 (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 Ralph Warner Clark allows following entities to bill medicare on his behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

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 Ralph Warner 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 Ralph Warner Clark, MD 11201 Benton St, Loma Linda, CA 92357-1000 Ph: (909) 825-7084	Dr Ralph Warner Clark, MD 11201 Benton St, 116a/main, Loma Linda, CA 92357-1000 Ph: (909) 825-7084

Reviews and Comments

Preventive Medicine Doctors in Loma Linda, CA

Karen Rachel Studer, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Street, Graduate Medical Education Office Cp 21005, Loma Linda, CA 92354 Phone: 909-558-4000
Serena Tonstad, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 24785 Stewart St, Evans Hall, Room 111, Loma Linda, CA 92350 Phone: 909-558-4741 Fax: 909-558-0471
T Allan Darnell, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Ste.106a, Loma Linda, CA 92354 Phone: 909-558-6222
Dr. Rebecca Sueyoung Chung, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 24785 Stewart St Evans Hl Ste 204, Loma Linda, CA 92350 Phone: 909-651-5809
Dr. Tonya Elizabeth Cramer, M.D., MPH Preventive Medicine Medicare: Medicare Enrolled Practice Location: 24785 Stewart Street Evans Hall Suite 204, Loma Linda, CA 92350 Phone: 909-558-6600
Silvia Cristina Caswell, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 24785 Stewart St Ste 111, Loma Linda, CA 92350 Phone: 909-558-4594
Dr. Andrew H. Guo, MD, MPH, MBA Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: Va Loma Linda Healthcare System, 11201 Benton St (111-om), Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3274

Dr Ralph Warner Clark, MD - Medicare Preventive Medicine in Loma Linda, CA