Dr Gordon H Clark, MD in Denham Springs, LA

Dr Gordon H Clark, MD is a medicare enrolled "Family Medicine" physician in Denham Springs, Louisiana. His current practice location is 2314 S Range Ave, Denham Springs, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 480-4080.

Dr Gordon H Clark is licensed to practice in Louisiana (license number MD 203009) 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 1265546014.

Contact Information

	Dr Gordon H Clark, MD
	2314 S Range Ave, Denham Springs, LA 70726-5216
	(225) 480-4080
	(877) 485-4275

Map and Direction

Physician's Profile

Full Name	Dr Gordon H Clark
Gender	Male
Speciality	Family Medicine
Location	2314 S Range Ave, Denham Springs, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265546014
Provider Enumeration Date: 08/18/2006
Last Update Date: 11/24/2021

Medicare PECOS Information:

PECOS PAC ID: 2365442373
Enrollment ID: I20091216000511

Medical Identifiers

Medical identifiers for Dr Gordon H Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265546014	NPI	-	NPPES
1066656	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	19473 (Mississippi)	Secondary
207Q00000X	Family Medicine	DR.0059785 (Colorado)	Secondary
207Q00000X	Family Medicine	MD 203009 (Louisiana)	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 Gordon H Clark allows following entities to bill medicare on his behalf.

Entity Name	Centerwell Senior Primary Care La Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760005136 PECOS PAC ID: 1951712280 Enrollment ID: O20210217000212

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 Gordon H 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 Gordon H Clark, MD 2314 S Range Ave, Denham Springs, LA 70726-5216 Ph: (225) 480-4080	Dr Gordon H Clark, MD 2314 S Range Ave, Denham Springs, LA 70726-5216 Ph: (225) 480-4080

Reviews and Comments

Family Medicine Doctors in Denham Springs, LA

April Hebert Mcculloh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1286 Del Este Ave, Denham Springs, LA 70726 Phone: 225-667-3100 Fax: 225-667-5443
Dr. Kasey Renee Chenevert, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 30819 Highway 16, Denham Springs, LA 70726 Phone: 225-664-2029 Fax: 225-664-9620
Dr. Mark A Parent, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1585 S Range Ave, Denham Springs, LA 70726 Phone: 225-791-0002 Fax: 225-791-0228
Patrick Dewayne Walker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31995 La Highway 16, Denham Springs, LA 70726 Phone: 225-765-5500 Fax: 225-271-8628
Aastha Garg, Family Medicine Medicare: Medicare Enrolled Practice Location: 30819 Louisiana 16, Denham Springs, LA 70726 Phone: 225-664-2029
Kayleigh Rhea Lejeune, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8369 Florida Blvd Ste 8, Denham Springs, LA 70726 Phone: 225-765-5500

Dr Gordon H Clark, MD - Medicare Family Medicine in Denham Springs, LA