Earl Clark Ii, MD in Richmond, CA - Medicare Family Medicine

Earl Clark Ii, MD is a medicare enrolled "Family Medicine" physician in Richmond, California. His current practice location is 901 Nevin Ave, Richmond, California. You can reach out to his office (for appointments etc.) via phone at (510) 742-1000.

Earl Clark Ii is licensed to practice in California (license number A179809) 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 1104387174.

Contact Information

	Earl Clark Ii, MD
	901 Nevin Ave, Richmond, CA 94801-3143
	(510) 742-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Earl Clark Ii
Gender	Male
Speciality	Family Medicine
Location	901 Nevin Ave, Richmond, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104387174
Provider Enumeration Date: 03/30/2019
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 1658601315
Enrollment ID: I20221028002347

Medical Identifiers

Medical identifiers for Earl Clark Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104387174	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A179809 (California)	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. Earl Clark Ii allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Earl Clark Ii 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
Earl Clark Ii, MD 3600 Broadway Fl 4, Oakland, CA 94611-5730 Ph: (510) 742-1000	Earl Clark Ii, MD 901 Nevin Ave, Richmond, CA 94801-3143 Ph: (510) 742-1000

Reviews and Comments

Family Medicine Doctors in Richmond, CA

Rebecca Marie Clyde, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 Phone: 510-204-8090 Fax: 510-506-7726
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Yang M. Sun, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
Dr. David Rafael Pichardo-gomez, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 150 Harbour Way, Richmond, CA 94801 Phone: 510-981-4100
Pamela M. Valentine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
Teshina Nicole Wilson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1030 Nevin Ave, Richmond, CA 94801 Phone: 510-215-5001 Fax: 510-215-1115

Earl Clark Ii, MD - Medicare Family Medicine in Richmond, CA