Dr Susan Christine Clark, MD in Portsmouth, VA

Dr Susan Christine Clark, MD is a medicare enrolled "Surgery" physician in Portsmouth, Virginia. Her current practice location is Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 953-9759.

Dr Susan Christine Clark is licensed to practice in Virginia (license number 0101253279) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104096650.

Contact Information

	Dr Susan Christine Clark, MD
	Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708
	(757) 953-9759
	(757) 953-0845

Map and Direction

Physician's Profile

Full Name	Dr Susan Christine Clark
Gender	Female
Speciality	Surgery
Location	Naval Medical Center Portsmouth, Portsmouth, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104096650
Provider Enumeration Date: 03/11/2008
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 4385812080
Enrollment ID: I20131008001525

Medical Identifiers

Medical identifiers for Dr Susan Christine Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104096650	NPI	-	NPPES
5918139	Medicaid	NC
163WH	Other	NC	BCBSNC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	2011-00718 (North Carolina)	Secondary
208600000X	Surgery	MD426779 (Pennsylvania)	Secondary
208600000X	Surgery	0101253279 (Virginia)	Primary

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 Susan Christine Clark allows following entities to bill medicare on her behalf.

Entity Name	Mary Immaculate Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538535463 PECOS PAC ID: 0042124042 Enrollment ID: O20031114000096

Entity Name	Bon Secours Medical Group Hampton Roads Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258

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 Susan Christine 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 Susan Christine Clark, MD Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708-9971 Ph: (757) 953-9759	Dr Susan Christine Clark, MD Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Ph: (757) 953-9759

Reviews and Comments

Surgery Doctors in Portsmouth, VA

Dr. Francis Patrick Cuozzo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 Phone: 757-953-5008
Dr. Hilary Mckinley, DO Surgery Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000
Lauren Daugherty, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000
Jonathan L Halbach, D.O. Surgery Medicare: Medicare Enrolled Practice Location: Nmrtc Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 757-953-2446
Dr. Daniel Paul Sanford, DO Surgery Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-0669
Reymond Guzman Pascual, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 704 London Blvd., Portsmouth, VA 23704 Phone: 757-397-7122 Fax: 757-399-4919

Dr Susan Christine Clark, MD - Medicare Surgery in Portsmouth, VA