Jonathan Clark, MD - Medicare Family Practice in Danville, KY

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Jonathan Clark, MD is a medicare enrolled "Family Medicine" physician in Danville, Kentucky. He went to University Of Kentucky College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ephraim Mcdowell Regional Medical Center Incorporated, Ephraim Mcdowell Health Resource Inc and his current practice location is 109 Daniel Dr, Danville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 236-3361.

Jonathan Clark is licensed to practice in Kentucky (license number KY35658) 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 1154415156.

Contact Information

Jonathan Clark, MD
109 Daniel Dr,
Danville, KY 40422-2527
(859) 236-3361
(859) 239-9484

Map and Direction




Physician's Profile

Full NameJonathan Clark
GenderMale
SpecialityFamily Practice
Experience27 Years
Location109 Daniel Dr, Danville, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jonathan Clark attended and graduated from University Of Kentucky College Of Medicine in 1997
  NPI Data:
  • NPI Number: 1154415156
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 08/30/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4486794583
  • Enrollment ID: I20091222000209

Medical Identifiers

Medical identifiers for Jonathan Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154415156NPI-NPPES
64015225MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine KY35658 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mcdowell Home Health AgencyDanville, KYHome health agency
Heritage Hospice, IncDanville, KYHospice
Ephraim Mcdowell Fort Logan HospitalStanford, KYHospital
Ephraim Mcdowell Regional Medical CenterDanville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ephraim Mcdowell Regional Medical Center Incorporated337550644720
Ephraim Mcdowell Health Resource Inc7517876956122

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. Jonathan Clark allows following entities to bill medicare on his behalf.
Entity NameEphraim Mcdowell Health Resource Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487708533
PECOS PAC ID: 7517876956
Enrollment ID: O20031218000776
Entity NameThe James B Haggin Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558581785
PECOS PAC ID: 8527957448
Enrollment ID: O20040310001400
Entity NameEphraim Mcdowell Regional Medical Center Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316141351
PECOS PAC ID: 3375506447
Enrollment ID: O20041109001051
Entity NameBluegrass Immediate Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700013018
PECOS PAC ID: 3274671011
Enrollment ID: O20091116000102

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. Jonathan 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 AddressPractice Location Address
Jonathan Clark, MD
Po Box 990,
Danville, KY 40423-0990

Ph: (859) 236-3361		Jonathan Clark, MD
109 Daniel Dr,
Danville, KY 40422-2527

Ph: (859) 236-3361

Reviews and Comments


Family Medicine Doctors in Danville, KY

Brittany M Hager, APRN FNP-BC
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 217 S 3rd St, Danville, KY 40422
Phone: 859-239-1000    
Dr. Pallaki D Ravi, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 124 Daniel Dr, Danville, KY 40422
Phone: 606-303-4389    Fax: 859-209-4232
Richard James Hempel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 640 E Lexington Ave, Danville, KY 40422
Phone: 859-236-1250    Fax: 859-236-9776
Colin R Raitiere, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 120 Enterprise Dr, Danville, KY 40422
Phone: 859-236-2425    Fax: 859-757-2475
Dr. Brian E Ellis, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 109 Daniel Dr, Danville, KY 40422
Phone: 859-236-3361    Fax: 859-239-9484
Ann Marie Rodden, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 478 Whirlaway Dr Ste 100, Danville, KY 40422
Phone: 859-236-6613    Fax: 859-236-2284

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.