Jack Clark, DO in Cape Coral, FL - Medicare Rheumatology

Jack Clark, DO is a medicare enrolled "Internal Medicine - Rheumatology" physician in Cape Coral, Florida. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 1992 and has 32 years of diverse experience with area of expertise as Rheumatology. He is a member of the group practice Millennium Physician Group Llc and his current practice location is 1528 Del Prado Blvd S, Cape Coral, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 458-3338.

Jack Clark is licensed to practice in Florida (license number OS8284) 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 1073563847.

Contact Information

	Jack Clark, DO
	1528 Del Prado Blvd S, Cape Coral, FL 33990-3798
	(239) 458-3338
	(239) 458-0666

Map and Direction

Physician's Profile

Full Name	Jack Clark
Gender	Male
Speciality	Rheumatology
Experience	32 Years
Location	1528 Del Prado Blvd S, Cape Coral, Florida
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:

Jack Clark attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 1992

NPI Data:

NPI Number: 1073563847
Provider Enumeration Date: 05/11/2006
Last Update Date: 09/29/2021

Medicare PECOS Information:

PECOS PAC ID: 8729163290
Enrollment ID: I20100405000101

Medical Identifiers

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

Identifier	Type	State	Issuer
1073563847	NPI	-	NPPES
272380800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	OS8284 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lee Memorial Hospital	Fort myers, FL	Hospital
Cape Coral Hospital	Cape coral, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Millennium Physician Group Llc	9830244433	789

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

Entity Name	Millennium Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338

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. Jack 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
Jack Clark, DO 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774	Jack Clark, DO 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 Ph: (239) 458-3338

Reviews and Comments

Internal Medicine Doctors in Cape Coral, FL

Marshall D'souza, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 126 Del Prado Blvd N, Ste. 104, Cape Coral, FL 33909 Phone: 239-939-2200 Fax: 239-939-2204
Dr. Russell L. Robinson, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 316 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-314-1616 Fax: 239-479-5202
Dr. Preeth Kada Sundaran, Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 708 Del Prado Blvd S Ste 7, Cape Coral, FL 33990 Phone: 239-424-3660 Fax: 239-424-3663
Ambar Marie Morales-rodriguez, Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1138 Country Club Blvd, Cape Coral, FL 33990 Phone: 239-424-1900 Fax: 239-424-1904
Dr. William Richard Porter, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 709 Del Prado Blvd, Suite 9, Cape Coral, FL 33990 Phone: 239-574-2644 Fax: 239-574-1451
Dr. Stephen Ross Dreznin, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-3123 Fax: 239-424-4041

Jack Clark, DO - Medicare Rheumatology in Cape Coral, FL