Gina Clark, DO - Medicare Family Practice in Stigler, OK

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Gina Clark, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Stigler, Oklahoma. She went to Lincoln Memorial University Medical Department and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Haskell Regional Hospital Inc, Stigler Health And Wellness Center Inc and her current practice location is 1505 E Main St, Stigler, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 967-3368.

Gina Clark is licensed to practice in Oklahoma (license number 5482) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790065399.

Contact Information

Gina Clark, DO
1505 E Main St,
Stigler, OK 74462-2913
(918) 967-3368
(918) 967-4582

Map and Direction




Physician's Profile

Full NameGina Clark
GenderFemale
SpecialityFamily Practice
Experience13 Years
Location1505 E Main St, Stigler, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gina Clark attended and graduated from Lincoln Memorial University Medical Department in 2011
  NPI Data:
  • NPI Number: 1790065399
  • Provider Enumeration Date: 08/26/2011
  • Last Update Date: 11/01/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9234350166
  • Enrollment ID: I20150812008639

Medical Identifiers

Medical identifiers for Gina Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790065399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 172613 (North Carolina)Secondary
207QS0010XFamily Medicine - Sports Medicine 5482 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Oldham Home Care LlcStigler, OKHome health agency
Compassion Home Care, IncStigler, OKHome health agency
Professional Home HealthSallisaw, OKHome health agency
Haskell Regional Hospital, IncStigler, OKHospital
Saint Francis Hospital MuskogeeMuskogee, OKHospital
Mercy Hospital Fort SmithFort smith, ARHospital
Eastern Oklahoma Medical CenterPoteau, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Haskell Regional Hospital Inc115374273910
Stigler Health And Wellness Center Inc802206137333

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. Gina Clark allows following entities to bill medicare on her behalf.
Entity NameStigler Health And Wellness Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891752853
PECOS PAC ID: 8022061373
Enrollment ID: O20050715000025
Entity NameCah Acquisition Company 16 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922329853
PECOS PAC ID: 7911031950
Enrollment ID: O20110407000513
Entity NameEss Of Sallisaw, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215431069
PECOS PAC ID: 6002170578
Enrollment ID: O20180509000869
Entity NameEss Of Stilwell, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497302566
PECOS PAC ID: 8527398940
Enrollment ID: O20190927002257
Entity NameHaskell Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194348961
PECOS PAC ID: 1153742739
Enrollment ID: O20200608001238

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. Gina 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
Gina Clark, DO
Po Box 179,
Stigler, OK 74462-0179

Ph: (918) 967-3368		Gina Clark, DO
1505 E Main St,
Stigler, OK 74462-2913

Ph: (918) 967-3368

Reviews and Comments


Family Medicine Doctors in Stigler, OK

Dr. Stephen W Woodson, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 907 Nw 5th St, Stigler, OK 74462
Phone: 918-967-3355    Fax: 918-967-8863
Mr. Mark William Mccurry, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1103 N Skyline Dr, Stigler, OK 74462
Phone: 918-697-9696    Fax: 918-948-8282
Tracy M Baker, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1505 E Main St, Stigler, OK 74462
Phone: 918-967-3368    Fax: 917-967-3351
Dr. Thomas Harold Conklin Jr., D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 109 W Main St, Stigler, OK 74462
Phone: 918-967-2130    Fax: 918-967-2461

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.