Dr Roderick V Clark, MD in Lafayette, LA

Dr Roderick V Clark, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Lafayette, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1987 and has 37 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Acadiana Renal Physicians Amc, Louisiana Kidney Update Llc and his current practice location is 2804 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 981-5156.

Dr Roderick V Clark is licensed to practice in Louisiana (license number 019518) 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 1225066939.

Contact Information

	Dr Roderick V Clark, MD
	2804 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906
	(337) 981-5156
	(337) 981-0673

Map and Direction

Physician's Profile

Full Name	Dr Roderick V Clark
Gender	Male
Speciality	Nephrology
Experience	37 Years
Location	2804 Ambassador Caffery Pkwy, Lafayette, Louisiana
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 Roderick V Clark attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1987

NPI Data:

NPI Number: 1225066939
Provider Enumeration Date: 06/29/2006
Last Update Date: 09/11/2007

Medicare PECOS Information:

PECOS PAC ID: 4880613694
Enrollment ID: I20060313000063

Medical Identifiers

Medical identifiers for Dr Roderick V Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225066939	NPI	-	NPPES
1379875	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	019518 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fmcna - Breaux Bridge	Breaux bridge, LA	Dialysis facility
Our Lady Of Lourdes Regional Medical Center, Inc	Lafayette, LA	Hospital
Lafayette General Medical Center	Lafayette, LA	Hospital
Iberia Medical Center	New iberia, LA	Hospital
St Martin Hospital	Breaux bridge, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Acadiana Renal Physicians Amc	5890783070	16
Louisiana Kidney Update Llc	9032479548	2

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 Roderick V Clark allows following entities to bill medicare on his behalf.

Entity Name	Our Lady Of Lourdes Regional Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952497489 PECOS PAC ID: 5890683411 Enrollment ID: O20040305000956

Entity Name	Acadiana Renal Physicians Amc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992747349 PECOS PAC ID: 5890783070 Enrollment ID: O20040505000949

Entity Name	Lsuhn Billing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372

Entity Name	Louisiana Kidney Update Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104014349 PECOS PAC ID: 9032479548 Enrollment ID: O20180201000657

Entity Name	Gulf Coast Nephrology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982340774 PECOS PAC ID: 1052787959 Enrollment ID: O20221018001907

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 Roderick V 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 Roderick V Clark, MD 2804 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 Ph: (337) 981-5156	Dr Roderick V Clark, MD 2804 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 Ph: (337) 981-5156

Reviews and Comments

Internal Medicine Doctors in Lafayette, LA

Dr. Maximo Bienvenido Lamarche, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 W Saint Mary Blvd, Lafayette, LA 70506 Phone: 337-233-6593 Fax: 337-235-1032
Dr. John M Rainey, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 501 W Saint Mary Blvd, Lafayette, LA 70506 Phone: 337-235-7898 Fax: 337-235-7445
Cassie Clark, Nephrology Medicare: Medicare Enrolled Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000
Dr. Corwin Ashford Thomas, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 802 E Farrel Rd, Lafayette, LA 70508 Phone: 337-234-3163 Fax: 337-234-3168
Dr. Matthew Shane Fontenot, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7927 Fax: 337-289-7935
Dr. John Brent Rhodes Jr., M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 439 Heymann Blvd, Lafayette, LA 70503 Phone: 337-269-0963 Fax: 337-269-0553
Leela P. Lakshmiprasad, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: Lsu Medicine Clinic, 2390 W Congress Street, Lafayette, LA 70506 Phone: 337-261-6100

Dr Roderick V Clark, MD - Medicare Nephrology in Lafayette, LA