Jaclyn Clark, MD in New York, NY - Medicare General Surgery

Jaclyn Clark, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in New York, New York. She went to New York University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Shock Trauma Associates Pa and her current practice location is 550 1st Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (201) 321-2635.

Jaclyn Clark is licensed to practice in Maryland (license number C462356683177) 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 1861838682.

Contact Information

	Jaclyn Clark, MD
	550 1st Ave, New York, NY 10016-6402
	(201) 321-2635
	Not Available

Map and Direction

Physician's Profile

Full Name	Jaclyn Clark
Gender	Female
Speciality	General Surgery
Experience	11 Years
Location	550 1st Ave, New York, New York
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:

Jaclyn Clark attended and graduated from New York University School Of Medicine in 2013

NPI Data:

NPI Number: 1861838682
Provider Enumeration Date: 05/20/2013
Last Update Date: 08/15/2019

Medicare PECOS Information:

PECOS PAC ID: 9931447182
Enrollment ID: I20191010000048

Medical Identifiers

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

Identifier	Type	State	Issuer
1861838682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	C462356683177 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Maryland Medical Center	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shock Trauma Associates Pa	6800882317	230

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

Entity Name	Shock Trauma Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679512909 PECOS PAC ID: 6800882317 Enrollment ID: O20040421000976

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. Jaclyn 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
Jaclyn Clark, MD 550 1st Ave, New York, NY 10016-6402 Ph: () -	Jaclyn Clark, MD 550 1st Ave, New York, NY 10016-6402 Ph: (201) 321-2635

Reviews and Comments

Surgery Doctors in New York, NY

Dr. Akili Hinson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 525 E 68th St, New York, NY 10065 Phone: 212-746-5454
Sunny D Mitchell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 161 Fort Washington Ave Fl 10, New York, NY 10032 Phone: 212-342-5164
Dr. Luis Gabriel Rivera Sanchez, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 325 W 15th St, New York, NY 10011 Phone: 212-604-6000 Fax: 212-367-1718
Dr. Megan Elizabeth Jenkins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-7300
Karen Hiotis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 E 34th St, 4th Floor, New York, NY 10016 Phone: 212-731-5180
Jeffrey W Milsom, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1315 York Ave, 2nd Floor, New York, NY 10021 Phone: 212-746-6030
Dr. Lael E Forbes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9 E 62nd St Ofc 1r, New York, NY 10065 Phone: 212-837-8911

Jaclyn Clark, MD - Medicare General Surgery in New York, NY