Jeffrey Allen Clark, MD in Lebanon, NH - Medicare Anesthesiology

Jeffrey Allen Clark, MD is a medicare enrolled "Anesthesiology" physician in Lebanon, New Hampshire. He went to Ohio State University College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Dartmouth-hitchcock Clinic and his current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 653-0642.

Jeffrey Allen Clark is licensed to practice in New Hampshire (license number 12254) 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 1609808278.

Contact Information

	Jeffrey Allen Clark, MD
	1 Medical Center Dr, Lebanon, NH 03756-1000
	(603) 653-0642
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeffrey Allen Clark
Gender	Male
Speciality	Anesthesiology
Experience	25 Years
Location	1 Medical Center Dr, Lebanon, New Hampshire
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:

Jeffrey Allen Clark attended and graduated from Ohio State University College Of Medicine in 1999

NPI Data:

NPI Number: 1609808278
Provider Enumeration Date: 07/06/2006
Last Update Date: 07/26/2011

Medicare PECOS Information:

PECOS PAC ID: 7618952219
Enrollment ID: I20040618001174

Medical Identifiers

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

Identifier	Type	State	Issuer
1609808278	NPI	-	NPPES
1010560	Medicaid	VT
30204314	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	12254 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mary Hitchcock Memorial Hospital	Lebanon, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dartmouth-hitchcock Clinic	4183537509	1138

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. Jeffrey Allen Clark allows following entities to bill medicare on his behalf.

Entity Name	Amoskeag Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104883511 PECOS PAC ID: 1759375983 Enrollment ID: O20040513001385

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

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. Jeffrey Allen 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
Jeffrey Allen Clark, MD 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: (603) 653-0642	Jeffrey Allen Clark, MD 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: (603) 653-0642

Reviews and Comments

Anesthesiology Doctors in Lebanon, NH

Marbelia C Gonzalez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000
Regina Lee Gritsavage, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dhmc, Lebanon, NH 03756 Phone: 603-650-5000
Tabitha Antoinette Washington, M.D., B.S. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc Department Of Anesthesiology, Pain Medicine, Lebanon, NH 03756 Phone: 603-650-6040 Fax: 603-650-8199
Dr. Vinca Wing Kar Chow, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Drive, Dartmouth Hitchcock-anesthesiology & Pain Medicine, Lebanon, NH 03756 Phone: 603-650-6177
Dr. Kimberly Youngren, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000
Stacie G Deiner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Wenzel D Kovarik, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922

Jeffrey Allen Clark, MD - Medicare Anesthesiology in Lebanon, NH