Dr Richard Gary Clark, MD is a medicare enrolled "Internal Medicine" physician in Jamestown, Tennessee. His current practice location is
100 S Duncan St, Jamestown, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 879-5864.
Dr Richard Gary Clark is licensed to practice in Tennessee (license number 11080) 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 1962406793.
Physician's Profile
| Full Name | Dr Richard Gary Clark |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 100 S Duncan St, Jamestown, Tennessee |
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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 Richard Gary Clark attended and graduated from in
NPI Data:
- NPI Number: 1962406793
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Richard Gary Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962406793 | NPI | - | NPPES |
| 4053283 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 11080 (Tennessee) | Secondary |
| 208M00000X | Hospitalist | 11080 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 11080 (Tennessee) | Primary |
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 Richard Gary 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 Richard Gary Clark, MD
Po Box 2861,
Crossville, TN 38557-2861
Ph: (931) 879-5864 | Dr Richard Gary Clark, MD
100 S Duncan St,
Jamestown, TN 38556-3009
Ph: (931) 879-5864 |
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