Dr Robert Clark, MD is a medicare enrolled "Anesthesiology" physician in Holland, Ohio. He went to University Of Nevada School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Alaska Native Tribal Health Consortium and his current practice location is
7044 Sandy Hill Way, Holland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 491-8205.
Dr Robert Clark is licensed to practice in Ohio (license number 90123) 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 1275659971.
Physician's Profile
| Full Name | Dr Robert Clark |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 18 Years |
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| Location | 7044 Sandy Hill Way, Holland, Ohio |
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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 Robert Clark attended and graduated from University Of Nevada School Of Medicine in 2006
NPI Data:
- NPI Number: 1275659971
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 01/09/2008
Medicare PECOS Information:
- PECOS PAC ID: 0446444996
- Enrollment ID: I20190501000481
Medical Identifiers
Medical identifiers for Dr Robert Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275659971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 90123 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Alaska Native Tribal Health Consortium | 6709780265 | 449 |
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 Robert Clark allows following entities to bill medicare on his behalf.
| Entity Name | Alaska Native Tribal Health Consortium |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437189339
PECOS PAC ID: 6709780265
Enrollment ID: O20031125000772 |
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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 Robert 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 Robert Clark, MD
7044 Sandy Hill Way,
Holland, OH 43528-8088
Ph: (419) 491-8205 | Dr Robert Clark, MD
7044 Sandy Hill Way,
Holland, OH 43528-8088
Ph: (419) 491-8205 |
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