Dr Vivian L Clark, MD in Cooperstown, NY - Medicare Internal Medicine

Dr Vivian L Clark, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Cooperstown, New York. Her current practice location is 1 Atwell Rd, Cooperstown, New York. You can reach out to her office (for appointments etc.) via phone at (607) 547-3909.

Dr Vivian L Clark is licensed to practice in New York (license number 233275) 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 1427014737.

Contact Information

	Dr Vivian L Clark, MD
	1 Atwell Rd, Cooperstown, NY 13326-1301
	(607) 547-3909
	(607) 547-6325

Map and Direction

Physician's Profile

Full Name	Dr Vivian L Clark
Gender	Female
Speciality	Internal Medicine - Interventional Cardiology
Location	1 Atwell Rd, Cooperstown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427014737
Provider Enumeration Date: 04/25/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2860469087
Enrollment ID: I20040915001138

Medical Identifiers

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

Identifier	Type	State	Issuer
1427014737	NPI	-	NPPES
02588067	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	233275 (New York)	Primary
207RC0000X	Internal Medicine - Cardiovascular Disease	233275 (New York)	Primary
207RI0011X	Internal Medicine - Interventional Cardiology	233275 (New York)	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 Vivian L Clark allows following entities to bill medicare on her behalf.

Entity Name	Mary Imogene Bassett Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553

Entity Name	Mary Imogene Bassett Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834

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 Vivian 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 Address	Practice Location Address
Dr Vivian L Clark, MD Po Box 725, Cooperstown, NY 13326-0725 Ph: (607) 547-3909	Dr Vivian L Clark, MD 1 Atwell Rd, Cooperstown, NY 13326-1301 Ph: (607) 547-3909

Reviews and Comments

Internal Medicine Doctors in Cooperstown, NY

Marguerite Duplessis, PA-C Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3153 Fax: 607-547-6539
Dr. Ann K Eldred, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3350 Fax: 607-547-6989
Dr. Donald A Raddatz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3284 Fax: 607-547-4648
Abigail Marie Pichel Quintos, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3283 Fax: 607-547-6906
Dr. Jerel M Zoltick, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3181 Fax: 607-547-6857
Dr. Brenda J Davies-wait, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3259 Fax: 607-547-3259
Dr. Eric N Bravin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3336 Fax: 607-547-6541

Dr Vivian L Clark, MD - Medicare Internal Medicine in Cooperstown, NY