Ian Clark, MD in Memphis, TN - Medicare Pathology

Ian Clark, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Memphis, Tennessee. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Endeavor Health Medical Group and his current practice location is 1265 Union Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 516-7182.

Ian Clark is licensed to practice in Tennessee (license number 56522) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669985958.

Contact Information

	Ian Clark, MD
	1265 Union Ave, Memphis, TN 38104-3415
	(901) 516-7182
	(901) 276-5474

Map and Direction

Physician's Profile

Full Name	Ian Clark
Gender	Male
Speciality	Pathology
Experience	28 Years
Location	1265 Union Ave, Memphis, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ian Clark graduated from medical school in 1996

NPI Data:

NPI Number: 1669985958
Provider Enumeration Date: 11/09/2017
Last Update Date: 10/08/2018

Medicare PECOS Information:

PECOS PAC ID: 1951661438
Enrollment ID: I20220831003606

Medical Identifiers

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

Identifier	Type	State	Issuer
1669985958	NPI	-	NPPES
Q033048	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	56522 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	2710

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. Ian Clark allows following entities to bill medicare on his behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Ian 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
Ian Clark, MD 1265 Union Ave, Memphis, TN 38104-3415 Ph: (901) 516-7182	Ian Clark, MD 1265 Union Ave, Memphis, TN 38104-3415 Ph: (901) 516-7182

Reviews and Comments

Pathology Doctors in Memphis, TN

Marco Ross, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 637 Poplar Ave, Memphis, TN 38105 Phone: 901-222-4621
Armita Bahrami, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-3300 Fax: 901-595-3842
Dr. Andrzej T Slominski, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 930 Madison Ave, Suite 500, Memphis, TN 38103 Phone: 901-725-7551 Fax: 901-725-9721
Bradly D Clark, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3495 Hacks Cross Rd, Memphis, TN 38125 Phone: 901-526-7444 Fax: 901-271-2618
Dr. James R Downing, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: St. Jude Children's Research Hospital, 332 N Lauderdale St., Ms 0515, Memphis, TN 38105 Phone: 901-495-3006 Fax: 901-495-3842
Mufaddal Najmuddin, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 6019 Walnut Grove Rd, Memphis, TN 38120 Phone: 901-227-5135
Sonali Lanjewar, M.D. Pathology Medicare: May Accept Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-516-7182 Fax: 901-276-5474

Ian Clark, MD - Medicare Pathology in Memphis, TN