Dr Robert Dale Clark, MD is a medicare enrolled "Family Medicine" physician in Newland, North Carolina. He went to University Of Texas Medical School At San Antonio and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. His current practice location is
137 Notalee St, Newland, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 528-3009.
Dr Robert Dale Clark is licensed to practice in North Carolina (license number 0098-01210) 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 1376542597.
Physician's Profile
| Full Name | Dr Robert Dale Clark |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 27 Years |
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| Location | 137 Notalee St, Newland, North Carolina |
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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 Dale Clark attended and graduated from University Of Texas Medical School At San Antonio in 1997
NPI Data:
- NPI Number: 1376542597
- Provider Enumeration Date: 07/19/2005
- Last Update Date: 08/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 5890778245
- Enrollment ID: I20040608001029
Medical Identifiers
Medical identifiers for Dr Robert Dale Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376542597 | NPI | - | NPPES |
| 89126GU | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0098-01210 (North Carolina) | Primary |
Medical Facilities Affiliation
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 Dale Clark allows following entities to bill medicare on his behalf.
| Entity Name | Clark Family Medicine Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306845573
PECOS PAC ID: 6507849965
Enrollment ID: O20040608001098 |
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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 Dale 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 Robert Dale Clark, MD
Po Box 58,
Crossnore, NC 28616-0058
Ph: (828) 528-1168 | Dr Robert Dale Clark, MD
137 Notalee St,
Newland, NC 28657
Ph: (828) 528-3009 |
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