Dr Terry L Clark, MD - Medicare Preventive Medicine in Fort Smith, AR

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Dr Terry L Clark, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Fort Smith, Arkansas. His current practice location is 4300 Regions Park Dr, Fort Smith, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 274-6300.

Dr Terry L Clark is licensed to practice in Arkansas (license number R-3194) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184654774.

Contact Information

Dr Terry L Clark, MD
4300 Regions Park Dr,
Fort Smith, AR 72916-9373
(479) 274-6300
(479) 484-4715

Map and Direction




Physician's Profile

Full NameDr Terry L Clark
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location4300 Regions Park Dr, Fort Smith, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184654774
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 08/28/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0042100331
  • Enrollment ID: I20040318001732

Medical Identifiers

Medical identifiers for Dr Terry L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184654774NPI-NPPES
111575001MedicaidAR
080101199OtherRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine R-3194 (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 Terry L Clark allows following entities to bill medicare on his behalf.
Entity NameCooper Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154341931
PECOS PAC ID: 1153219621
Enrollment ID: O20040607000412
Entity NameMercy Clinic Fort Smith Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902073620
PECOS PAC ID: 3870668510
Enrollment ID: O20080814000789

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 Terry L 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 AddressPractice Location Address
Dr Terry L Clark, MD
Po Box 3528,
Fort Smith, AR 72913-3528

Ph: (479) 274-2000		Dr Terry L Clark, MD
4300 Regions Park Dr,
Fort Smith, AR 72916-9373

Ph: (479) 274-6300

Reviews and Comments


Preventive Medicine Doctors in Fort Smith, AR


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.