Glenn L Clark, MD - Medicare Radiology in Marianna, FL

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Glenn L Clark, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Marianna, Florida. His current practice location is 4250 Hospital Dr, Marianna, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 718-2597.

Glenn L Clark is licensed to practice in Florida (license number ME42096) 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 1093700320.

Contact Information

Glenn L Clark, MD
4250 Hospital Dr,
Marianna, FL 32446-1917
(850) 718-2597
(850) 718-2551

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Physician's Profile

Full NameGlenn L Clark
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location4250 Hospital Dr, Marianna, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093700320
  • Provider Enumeration Date: 09/13/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4082629142
  • Enrollment ID: I20060209000702

Medical Identifiers

Medical identifiers for Glenn L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093700320NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology ME42096 (Florida)Primary

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. Glenn 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 AddressPractice Location Address
Glenn L Clark, MD
Po Box 1128,
Jennings, LA 70546-1128

Ph: (337) 824-4403		Glenn L Clark, MD
4250 Hospital Dr,
Marianna, FL 32446-1917

Ph: (850) 718-2597

Reviews and Comments


Radiology Doctors in Marianna, FL

Dr. Raul Philip Olazabal, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 4250 Hospital Dr, Marianna, FL 32446
Phone: 850-526-2200    
Dr. David Bing Hurst, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3031 Carters Mill Rd, Marianna, FL 32446
Phone: 850-526-2104    Fax: 850-482-2445

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.