Dr Teresa Clark, MD in Rogers, AR - Medicare Emergency Medicine

Dr Teresa Clark, MD is a medicare enrolled "Emergency Medicine" physician in Rogers, Arkansas. Her current practice location is 1200 W Walnut St, Rogers, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 636-0200.

Dr Teresa Clark is licensed to practice in Arkansas (license number E-1370) 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 1699714857.

Contact Information

	Dr Teresa Clark, MD
	1200 W Walnut St, Rogers, AR 72756-3546
	(479) 636-0200
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Teresa Clark
Gender	Female
Speciality	Emergency Medicine
Location	1200 W Walnut St, Rogers, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699714857
Provider Enumeration Date: 06/05/2006
Last Update Date: 10/28/2022

Medicare PECOS Information:

PECOS PAC ID: 2365481371
Enrollment ID: I20050428001108

Medical Identifiers

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

Identifier	Type	State	Issuer
1699714857	NPI	-	NPPES
133747001	Medicaid	AR
5K667	Other	AR	BLUE CROSS
205182900	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	E-1370 (Arkansas)	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 Teresa Clark allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201

Entity Name	Sgoh Acquisition Inc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559

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 Teresa 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 Teresa Clark, MD Po Box 634706, Cincinnati, OH 45263-0001 Ph: () -	Dr Teresa Clark, MD 1200 W Walnut St, Rogers, AR 72756-3546 Ph: (479) 636-0200

Reviews and Comments

Emergency Medicine Doctors in Rogers, AR

Dr. Chester L. Carlson, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5212 Village Pkwy, Rogers, AR 72758 Phone: 479-657-6888
Dr. Kristin D Kaemmerling, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200
Robin A. Cox, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 W Oak St, Rogers, AR 72756 Phone: 479-966-4999 Fax: 479-301-8829
Dr. Karen Ludwig Haney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200
Dr. Jeff Mathieu Audibert, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200
Dr. Kurt Power Eifling, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-4540
Dr. Bradly Shane Holland, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5208 W Village Pkwy Ste 1, Rogers, AR 72758 Phone: 479-389-2803

Dr Teresa Clark, MD - Medicare Emergency Medicine in Rogers, AR