Gordon Penner Clark, MD | |
809 Turnpike Ave, Clearfield, PA 16830-1232 | |
(814) 768-2470 | |
(814) 768-2374 |
Full Name | Gordon Penner Clark |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 809 Turnpike Ave, Clearfield, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972538932 | NPI | - | NPPES |
0009625030012 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD017321E (Pennsylvania) | Primary |
Entity Name | Pennsylvania Department Of Human Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851374698 PECOS PAC ID: 0547168064 Enrollment ID: O20040301000722 |
Entity Name | Ars Treatment Centers Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346731171 PECOS PAC ID: 0042568131 Enrollment ID: O20180807000056 |
Mailing Address | Practice Location Address |
---|---|
Gordon Penner Clark, MD 809 Turnpike Ave, Clearfield, PA 16830-1232 Ph: (814) 768-2470 | Gordon Penner Clark, MD 809 Turnpike Ave, Clearfield, PA 16830-1232 Ph: (814) 768-2470 |
Ernest P Jones Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 809 Turnpike Ave, Clearfield, PA 16830 Phone: 814-768-2470 Fax: 814-768-2344 | |
James Clifford Edwards, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 Turnpike Ave, Clearfield, PA 16830 Phone: 814-768-2470 Fax: 814-768-2374 | |
James P Desantis, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 809 Turnpike Ave, Clearfield, PA 16830 Phone: 814-768-2470 Fax: 814-768-2374 |