Dr Ryan Stewart Clark, DO in Kettering, OH - Medicare Internal Medicine

Dr Ryan Stewart Clark, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Kettering, Ohio. He went to Nova Southeastern Univ College Of Dental Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is 1380 E Stroop Rd, Kettering, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 293-3486.

Dr Ryan Stewart Clark is licensed to practice in Ohio (license number 34010728) 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 1396049011.

Contact Information

	Dr Ryan Stewart Clark, DO
	1380 E Stroop Rd, Kettering, OH 45429-4926
	(937) 293-3486
	(937) 293-3605

Map and Direction

Physician's Profile

Full Name	Dr Ryan Stewart Clark
Gender	Male
Speciality	Internal Medicine
Experience	14 Years
Location	1380 E Stroop Rd, Kettering, Ohio
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 Ryan Stewart Clark attended and graduated from Nova Southeastern Univ College Of Dental Medicine in 2010

NPI Data:

NPI Number: 1396049011
Provider Enumeration Date: 01/10/2011
Last Update Date: 01/28/2021

Medicare PECOS Information:

PECOS PAC ID: 4183862105
Enrollment ID: I20131015000780

Medical Identifiers

Medical identifiers for Dr Ryan Stewart Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396049011	NPI	-	NPPES
0100097	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	34010728 (Ohio)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	58.003689 (Ohio)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	34010728 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grandview And Southview Hospitals	Dayton, OH	Hospital
Troy Hospital	Troy, OH	Hospital
Wilson Memorial Hospital	Sidney, OH	Hospital
Kettering Medical Center	Kettering, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kettering Independent Medical Group Inc	3173710936	577

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 Ryan Stewart Clark allows following entities to bill medicare on his behalf.

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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 Ryan Stewart 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 Ryan Stewart Clark, DO 1103 Fairington Dr, Sidney, OH 45365-8130 Ph: (937) 980-7400	Dr Ryan Stewart Clark, DO 1380 E Stroop Rd, Kettering, OH 45429-4926 Ph: (937) 293-3486

Reviews and Comments

Internal Medicine Doctors in Kettering, OH

Dr. Heather D Riggs Carter, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Bvld., Ste. 401, Kettering, OH 45429 Phone: 855-500-2873 Fax: 937-281-3913
Dr. Jeremy Lawton Chapman, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668
Saleem Ahmad, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 540 Lincoln Park Blvd, Suite 200, Kettering, OH 45429 Phone: 937-298-8058 Fax: 937-298-5638
Calvert Raymond Busch, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1380 E Stroop Rd, Kettering, OH 45429 Phone: 937-293-3486 Fax: 937-293-3605
Dr. Hemant M Shah, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd Ste 5800, Kettering, OH 45429 Phone: 937-439-3600 Fax: 937-741-8366
Martin Burbank, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-384-6800 Fax: 937-384-6938
Naveen K Vijayam, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668

Dr Ryan Stewart Clark, DO - Medicare Internal Medicine in Kettering, OH