Jay Clark, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Christiansburg, Virginia. His current practice location is
2900 Lamb Cir, Christiansburg, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 731-2000.
Jay Clark is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508486077.
Physician's Profile
Full Name | Jay Clark |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2900 Lamb Cir, Christiansburg, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508486077
- Provider Enumeration Date: 04/24/2020
- Last Update Date: 07/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224451679
- Enrollment ID: I20200702000435
Medical Identifiers
Medical identifiers for Jay Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508486077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 0101282679 (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Jay 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 |
Jay Clark, MD 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () - | Jay Clark, MD 2900 Lamb Cir, Christiansburg, VA 24073-6344 Ph: (540) 731-2000 |
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