Dr Robert Edward Clark, MD in Bloomington, IL

Dr Robert Edward Clark, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Bloomington, Illinois. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Illinois Gastroenterology Group Llc and his current practice location is 1228 Towanda Ave Ste 1, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 454-5900.

Dr Robert Edward Clark is licensed to practice in Illinois (license number 036131371) 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 1033372727.

Contact Information

	Dr Robert Edward Clark, MD
	1228 Towanda Ave Ste 1, Bloomington, IL 61701-3469
	(309) 454-5900
	(309) 454-2820

Map and Direction

Physician's Profile

Full Name	Dr Robert Edward Clark
Gender	Male
Speciality	Gastroenterology
Experience	17 Years
Location	1228 Towanda Ave Ste 1, Bloomington, Illinois
Accepts Medicare Assignments	Yes. 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 Robert Edward Clark graduated from medical school in 2007

NPI Data:

NPI Number: 1033372727
Provider Enumeration Date: 07/03/2008
Last Update Date: 06/28/2024

Medicare PECOS Information:

PECOS PAC ID: 9537309711
Enrollment ID: I20130711000493

Medical Identifiers

Medical identifiers for Dr Robert Edward Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033372727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MT190170 (Pennsylvania)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	2010017443 (Missouri)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	036131371 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Warner Hospital And Health Services	Clinton, IL	Hospital
Advocate Bromenn Medical Center	Normal, IL	Hospital
St Joseph Medical Center	Bloomington, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Illinois Gastroenterology Group Llc	5193857423	121

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 Edward Clark allows following entities to bill medicare on his behalf.

Entity Name	Digestive Disease Consultants Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306874102 PECOS PAC ID: 0143216630 Enrollment ID: O20040427000536

Entity Name	Illinois Gastroenterology Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316277817 PECOS PAC ID: 5193857423 Enrollment ID: O20100721000790

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 Edward 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 Edward Clark, MD 1228 Towanda Ave Ste 1, Bloomington, IL 61701-3469 Ph: (309) 454-5900	Dr Robert Edward Clark, MD 1228 Towanda Ave Ste 1, Bloomington, IL 61701-3469 Ph: (309) 454-5900

Reviews and Comments

Internal Medicine Doctors in Bloomington, IL

Dr. Venkata Ranganadh Dodda, M.D Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 320, Bloomington, IL 61701 Phone: 309-661-2368
Kumarpal Shrishrimal, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Ste 3000, Bloomington, IL 61701 Phone: 309-676-8123 Fax: 309-676-8455
Mr. Kenneth Schoenig, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820
Robert Bruha, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701 Phone: 309-676-8123 Fax: 309-676-8455
Kenneth H. Inoue, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709
Paul Pedersen, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3120 Fax: 309-663-5742

Dr Robert Edward Clark, MD - Medicare Gastroenterology in Bloomington, IL