Dr Richard Gary Clark, MD - Medicare Internal Medicine in Jamestown, TN

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Dr Richard Gary Clark, MD is a medicare enrolled "Internal Medicine" physician in Jamestown, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Acute Care Clinics Of America, Llc and 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.

Contact Information

Dr Richard Gary Clark, MD
100 S Duncan St,
Jamestown, TN 38556-3009
(931) 879-5864
(931) 879-3903

Map and Direction




Physician's Profile

Full NameDr Richard Gary Clark
GenderMale
SpecialityInternal Medicine
Experience47 Years
Location100 S Duncan St, Jamestown, Tennessee
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 Richard Gary Clark attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1977
  NPI Data:
  • NPI Number: 1962406793
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 03/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123157971
  • Enrollment ID: I20100603000658

Medical Identifiers

Medical identifiers for Dr Richard Gary Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962406793NPI-NPPES
4053283MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 11080 (Tennessee)Secondary
208M00000XHospitalist 11080 (Tennessee)Secondary
207R00000XInternal Medicine 11080 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Quality Home HealthJamestown, TNHome health agency
Amedisys Home HealthLivingston, TNHome health agency
Cookeville Regional Medical CenterCookeville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acute Care Clinics Of America, Llc63052733927

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 Richard Gary Clark allows following entities to bill medicare on his behalf.
Entity NameAcute Care Clinics Of America, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780235564
PECOS PAC ID: 6305273392
Enrollment ID: O20200304001675
Entity NameMonterey Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497339790
PECOS PAC ID: 7012316961
Enrollment ID: O20210811003455

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 AddressPractice 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

Reviews and Comments


Internal Medicine Doctors in Jamestown, TN

Jonathan D Allred, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 234 W Central Ave, Jamestown, TN 38556
Phone: 931-879-8139    Fax: 931-879-0221

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.