Dr Timothy Adam Clark, MD in Rome, GA - Medicare Emergency Medicine

Dr Timothy Adam Clark, MD is a medicare enrolled "Emergency Medicine" physician in Rome, Georgia. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Lakeland Physicians, Llc and his current practice location is 304 Shorter Ave Nw, Suite 201, Rome, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 509-3334.

Dr Timothy Adam Clark is licensed to practice in Georgia (license number 69566) 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 1669765756.

Contact Information

	Dr Timothy Adam Clark, MD
	304 Shorter Ave Nw, Suite 201, Rome, GA 30165-4290
	(706) 509-3334
	(706) 509-4272

Map and Direction

Physician's Profile

Full Name	Dr Timothy Adam Clark
Gender	Male
Speciality	Emergency Medicine
Experience	14 Years
Location	304 Shorter Ave Nw, Rome, Georgia
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 Timothy Adam Clark graduated from medical school in 2010

NPI Data:

NPI Number: 1669765756
Provider Enumeration Date: 05/23/2011
Last Update Date: 11/03/2014

Medicare PECOS Information:

PECOS PAC ID: 7618119603
Enrollment ID: I20150520001295

Medical Identifiers

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

Identifier	Type	State	Issuer
1669765756	NPI	-	NPPES
003134531D	Medicaid	GA
003134531E	Medicaid	GA
003134531C	Medicaid	GA
003134531A	Medicaid	GA
003134531B	Medicaid	GA
003134531F	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	69566 (Georgia)	Secondary
207P00000X	Emergency Medicine	69566 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chi Memorial Hospital- Georgia	Fort oglethorpe, GA	Hospital
Memorial Healthcare System, Inc	Chattanooga, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeland Physicians, Llc	0446578298	5

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 Timothy Adam Clark allows following entities to bill medicare on his behalf.

Entity Name	Lakeland Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851780951 PECOS PAC ID: 0446578298 Enrollment ID: O20150408000559

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 Timothy Adam 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 Timothy Adam Clark, MD 304 Shorter Ave Nw, Suite 201, Rome, GA 30165-4290 Ph: (706) 509-3334	Dr Timothy Adam Clark, MD 304 Shorter Ave Nw, Suite 201, Rome, GA 30165-4290 Ph: (706) 509-3334

Reviews and Comments

Emergency Medicine Doctors in Rome, GA

Peter Ankrom, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 420 E 2nd Ave, Suite 103, Rome, GA 30161 Phone: 706-509-3278 Fax: 706-509-4608
Paul Keith Shumpert, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 Redmond Rd Nw, Rome, GA 30165 Phone: 706-291-0291
Cassandra Evans, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 Redmond Rd Nw, Rome, GA 30165 Phone: 706-291-0291
John Kevin Hardwell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-6122 Fax: 706-509-4608
Horace Lee Cline, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E 2nd Ave, Suite 103, Rome, GA 30161 Phone: 706-509-3278 Fax: 706-509-4608
William Scott Alexander Ii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 Turner Mccall Boulevard, Floyd Center For Wound Care And Hyperbarics, Rome, GA 30165 Phone: 706-509-5170
David Wyatt Saunders, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 Redmond Rd Nw, Rome, GA 30165 Phone: 706-291-0291

Dr Timothy Adam Clark, MD - Medicare Emergency Medicine in Rome, GA