Guiselle Clark, MD in Santa Monica, CA

Guiselle Clark, MD is a medicare enrolled "Hospitalist" physician in Santa Monica, California. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 1225 15th St, A454, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 319-4598.

Guiselle Clark is licensed to practice in California (license number A114924) 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 1124254024.

Contact Information

	Guiselle Clark, MD
	1225 15th St, A454, Santa Monica, CA 90404-1101
	(310) 319-4598
	(310) 319-4908

Map and Direction

Physician's Profile

Full Name	Guiselle Clark
Gender	Female
Speciality	Hospitalist
Experience	15 Years
Location	1225 15th St, Santa Monica, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Guiselle Clark attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2009

NPI Data:

NPI Number: 1124254024
Provider Enumeration Date: 06/05/2009
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 7315100377
Enrollment ID: I20120531000538

Medical Identifiers

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

Identifier	Type	State	Issuer
1124254024	NPI	-	NPPES
1124254024	Other	CA	CCS PANELED
1124254024	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A114924 (California)	Secondary
208M00000X	Hospitalist	A114924 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Baldwin Park	Baldwin park, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Guiselle Clark allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Guiselle 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
Guiselle Clark, MD 757 Westwood Plz, Suite 7501, Los Angeles, CA 90095-8358 Ph: (310) 267-9643	Guiselle Clark, MD 1225 15th St, A454, Santa Monica, CA 90404-1101 Ph: (310) 319-4598

Reviews and Comments

Hospitalist Doctors in Santa Monica, CA

Christine Sun, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St # C2304, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-319-4908
Alanna Chau, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th Street, 2304 Central Wing, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-219-4908
Dr. Sarah Mun Yee Chan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St # C2304, Santa Monica, CA 90404 Phone: 310-319-4698
Dr. Josh Faguet, M.D., PH.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-829-5511
Dr. Eyong John Ly, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Suite A454, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-319-4908
Dr. Rahul Vasavada, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Suite 2304 Central Wing, Santa Monica, CA 90404 Phone: 310-319-4698
Shreeti Patel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-319-4908

Guiselle Clark, MD - Medicare Hospitalist in Santa Monica, CA