Dr Zachary Kyle Clark, MD in Fairhope, AL - Medicare Internal Medicine

Dr Zachary Kyle Clark, MD is a medicare enrolled "Internal Medicine" physician in Fairhope, Alabama. He went to University Of South Alabama College Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Fairhope Internal Medicine Pc and his current practice location is 150 S Ingleside St Ste 6, Fairhope, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 990-1740.

Dr Zachary Kyle Clark is licensed to practice in Alabama (license number 43746) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1063049054.

Contact Information

	Dr Zachary Kyle Clark, MD
	150 S Ingleside St Ste 6, Fairhope, AL 36532-1804
	(251) 990-1740
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Zachary Kyle Clark
Gender	Male
Speciality	Internal Medicine
Experience	4 Years
Location	150 S Ingleside St Ste 6, Fairhope, Alabama
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Zachary Kyle Clark attended and graduated from University Of South Alabama College Of Medicine in 2020

NPI Data:

NPI Number: 1063049054
Provider Enumeration Date: 03/27/2020
Last Update Date: 03/07/2024

Medicare PECOS Information:

PECOS PAC ID: 3870910342
Enrollment ID: I20220805003143

Medical Identifiers

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

Identifier	Type	State	Issuer
1063049054	NPI	-	NPPES
315102	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	43746 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thomas Hospital	Fairhope, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairhope Internal Medicine Pc	6305884651	9

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 Zachary Kyle Clark allows following entities to bill medicare on his behalf.

Entity Name	Fairhope Internal Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295760494 PECOS PAC ID: 6305884651 Enrollment ID: O20050419000175

Entity Name	Greater Mobile Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801063938 PECOS PAC ID: 1456429281 Enrollment ID: O20081007000622

Entity Name	Gmuc Of Springhill Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952617508 PECOS PAC ID: 6901091156 Enrollment ID: O20101112000731

Entity Name	Gmuc Of Citronelle Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164794343 PECOS PAC ID: 8426210014 Enrollment ID: O20120426000475

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 Zachary Kyle 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 Zachary Kyle Clark, MD 150 S Ingleside St Ste 6, Fairhope, AL 36532-1804 Ph: () -	Dr Zachary Kyle Clark, MD 150 S Ingleside St Ste 6, Fairhope, AL 36532-1804 Ph: (251) 990-1740

Reviews and Comments

Internal Medicine Doctors in Fairhope, AL

Dr. Michael A. Hennigan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Park, Fairhope, AL 36532 Phone: 251-929-3424 Fax: 251-279-3931
Dr. Christopher Clarke, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Park, Fairhope, AL 36532 Phone: 251-929-3424
Dr. Isadore M. Pike, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 105 N Summit St, Fairhope, AL 36532 Phone: 251-990-3098 Fax: 251-990-3417
Steven Philip Wittmer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 S Ingleside St Ste 6, Fairhope, AL 36532 Phone: 251-990-1740 Fax: 251-990-1831
Michaela Bylokova Mcdonald, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-279-1529 Fax: 251-279-1192
William F Sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Park Drive, Fairhope, AL 36532 Phone: 251-928-8804 Fax: 251-990-9379

Dr Zachary Kyle Clark, MD - Medicare Internal Medicine in Fairhope, AL