Dr Steven G Clark, MD is a
Orthopaedic Surgery physician based in Pekin, Illinois. Dr Steven G Clark is licensed to practice in Illinois (license number 036049330) and his current practice location is 2351 Broadway St, Pekin, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 353-4159.
NPI number for Dr Steven G Clark is 1902850027 and his current mailing address is 2351 Broadway St, Pekin, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902850027.
Physician's Profile
Full Name | Dr Steven G Clark |
---|
Gender | Male |
---|
Speciality | Orthopaedic Surgery |
---|
Location | 2351 Broadway St, Pekin, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902850027
- Provider Enumeration Date: 05/22/2006
- Last Update Date: 11/26/2014
Medical Identifiers
Medical identifiers for Dr Steven G Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902850027 | NPI | - | NPPES |
036049330 | Medicaid | IL | |
09015685 | Other | IL | BLUE CROSS BLUE SHIELD |
P00355237 | Other | IL | RAIL ROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 036049330 (Illinois) | Primary |
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 Steven G Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Steven G Clark, MD 2351 Broadway St, Pekin, IL 61554-3972 Ph: (309) 353-4159 | Dr Steven G Clark, MD 2351 Broadway St, Pekin, IL 61554-3972 Ph: (309) 353-4159 |
Reviews and Comments