Jack Douglas Clark, MD in Fresno, CA - Medicare Ophthalmology

Jack Douglas Clark, MD is a medicare enrolled "Ophthalmology" physician in Fresno, California. He went to University Of Southern California Keck School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Camarena Health, Fogg Remington Eyecare Inc and his current practice location is 7112 N Fresno St, Suite 100, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 439-1620.

Jack Douglas Clark is licensed to practice in California (license number G56196) 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 1265571608.

Contact Information

	Jack Douglas Clark, MD
	7112 N Fresno St, Suite 100, Fresno, CA 93720-2940
	(559) 439-1620
	(559) 432-6579

Map and Direction

Physician's Profile

Full Name	Jack Douglas Clark
Gender	Male
Speciality	Ophthalmology
Experience	40 Years
Location	7112 N Fresno St, Fresno, California
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 Douglas Clark attended and graduated from University Of Southern California Keck School Of Medicine in 1984

NPI Data:

NPI Number: 1265571608
Provider Enumeration Date: 02/05/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8426112533
Enrollment ID: I20090203000676

Medical Identifiers

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

Identifier	Type	State	Issuer
1265571608	NPI	-	NPPES
00G561960	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	G56196 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community Regional Medical Center	Fresno, CA	Hospital

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

Entity Name	Camarena Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891778114 PECOS PAC ID: 4880584317 Enrollment ID: O20040318000523

Entity Name	Fogg Remington Eyecare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023070869 PECOS PAC ID: 7911993902 Enrollment ID: O20040423001093

Entity Name	Eye Medical Clinic Of Fresno Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659388700 PECOS PAC ID: 1355381740 Enrollment ID: O20050504001241

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 Douglas 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 Douglas Clark, MD 7112 N Fresno St, Suite 100, Fresno, CA 93720-2940 Ph: (559) 439-1620	Jack Douglas Clark, MD 7112 N Fresno St, Suite 100, Fresno, CA 93720-2940 Ph: (559) 439-1620

Reviews and Comments

Ophthalmology Doctors in Fresno, CA

Eric James Poulsen, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1360 E Herndon Ave, Ste 201, Fresno, CA 93720 Phone: 559-449-5050 Fax: 559-432-2632
Dr. David Brett Kaye, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6767 N Fresno St, Fresno, CA 93710 Phone: 559-432-1000 Fax: 559-432-1034
Dr. Laura A Teasley, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1360 E Herndon Ave Ste 301, Fresno, CA 93720 Phone: 559-486-5000 Fax: 559-439-6804
Larry Ray Lawrence, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1360 E Herndon Ave, Ste 201, Fresno, CA 93720 Phone: 559-449-5050 Fax: 559-432-2632
Dr. Richard Lee Moors, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 7075 N Sharon Ave, Fresno, CA 93720 Phone: 559-486-2000 Fax: 559-256-8575
Dr. William Andrew Maxwell, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1360 E Herndon Ave, Suite 401, Fresno, CA 93720 Phone: 559-449-5010 Fax: 559-449-5014
Dr. Gary R. Fogg, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1360 E Herndon Ave, Suite 401, Fresno, CA 93720 Phone: 559-449-5010 Fax: 559-449-5014

Jack Douglas Clark, MD - Medicare Ophthalmology in Fresno, CA