Jonathan Clark, in Springfield, MO - Medicare Family Medicine

Jonathan Clark, is a medicare enrolled "Family Medicine" physician in Springfield, Missouri. His current practice location is 1200 E Woodhurst Dr, Suite Q-200, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 881-5639.

Jonathan Clark is licensed to practice in Missouri (license number MD101561) 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 1164415204.

Contact Information

	Jonathan Clark,
	1200 E Woodhurst Dr, Suite Q-200, Springfield, MO 65804-4257
	(417) 881-5639
	(417) 881-5664

Map and Direction

Physician's Profile

Full Name	Jonathan Clark
Gender	Male
Speciality	Family Medicine
Location	1200 E Woodhurst Dr, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164415204
Provider Enumeration Date: 08/24/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1456412667
Enrollment ID: I20220727003379

Medical Identifiers

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

Identifier	Type	State	Issuer
1164415204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD101561 (Missouri)	Primary

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 Name	Clark Family Medicine, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841435138 PECOS PAC ID: 9436212826 Enrollment ID: O20090112000323

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 Address	Practice Location Address
Jonathan Clark, 1200 E Woodhurst Dr, Suite Q-200, Springfield, MO 65804-4257 Ph: () -	Jonathan Clark, 1200 E Woodhurst Dr, Suite Q-200, Springfield, MO 65804-4257 Ph: (417) 881-5639

Reviews and Comments

Family Medicine Doctors in Springfield, MO

Shalvinder Kaur Seehra, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3525 E Battlefield St, Springfield, MO 65809 Phone: 417-269-1499 Fax: 417-269-1459
Harwinder K Dhanoa, Family Medicine Medicare: Medicare Enrolled Practice Location: 1540 E Evergreen St, Springfield, MO 65803 Phone: 417-823-2900
Thomas E Dahlberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3322 S Campbell Ave Ste T-1, Springfield, MO 65807 Phone: 417-220-4480 Fax: 417-414-0017
Dr. John H Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 S National Ave, Suite 280, Springfield, MO 65807 Phone: 417-885-0834 Fax: 417-888-6763
Dr. Jay L Sparks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 S National Ave, Suite 220, Springfield, MO 65807 Phone: 417-820-7450 Fax: 417-820-7455
Dr. Conrad Mitchell Bajor, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600
Dr. William Russell Detten, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1530 E Republic Rd, Springfield, MO 65804 Phone: 417-269-1362 Fax: 417-269-1372

Jonathan Clark, - Medicare Family Medicine in Springfield, MO