Justin Charles Clark, MD in Grand Rapids, MI

Justin Charles Clark, MD is a medicare enrolled "Neurological Surgery" physician in Grand Rapids, Michigan. He went to University Of Michigan Medical School and graduated in 2007 and has 17 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Sheridan Community Hospital, Great Lakes Neurosurgical Associates Pc and his current practice location is 414 Plymouth Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 454-3465.

Justin Charles Clark is licensed to practice in Michigan (license number 4301104141) 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 1598945644.

Contact Information

	Justin Charles Clark, MD
	414 Plymouth Ne, Grand Rapids, MI 49505-6041
	(616) 454-3465
	(616) 242-7060

Map and Direction

Physician's Profile

Full Name	Justin Charles Clark
Gender	Male
Speciality	Neurosurgery
Experience	17 Years
Location	414 Plymouth Ne, Grand Rapids, Michigan
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:

Justin Charles Clark attended and graduated from University Of Michigan Medical School in 2007

NPI Data:

NPI Number: 1598945644
Provider Enumeration Date: 11/06/2007
Last Update Date: 06/26/2015

Medicare PECOS Information:

PECOS PAC ID: 5991928590
Enrollment ID: I20140529001817

Medical Identifiers

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

Identifier	Type	State	Issuer
1598945644	NPI	-	NPPES
80762	Other	AZ	TRAINING PERMIT
4301104141	Other	MI	STATE OF MICHIGAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	4301104141 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Metro Health Hospital	Wyoming, MI	Hospital
Spectrum Health	Grand rapids, MI	Hospital
Mercy Health Saint Mary's	Grand rapids, MI	Hospital
Sheridan Community Hospital	Sheridan, MI	Hospital
Spectrum Health United Hospital	Greenville, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sheridan Community Hospital	1658275342	5
Great Lakes Neurosurgical Associates Pc	5890691182	12

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. Justin Charles Clark allows following entities to bill medicare on his behalf.

Entity Name	Great Lakes Neurosurgical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366590929 PECOS PAC ID: 5890691182 Enrollment ID: O20031209000125

Entity Name	Sheridan Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528090594 PECOS PAC ID: 1658275342 Enrollment ID: O20040315001133

Entity Name	Sheridan Community Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1689618324 PECOS PAC ID: 1658275342 Enrollment ID: O20070301000099

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. Justin Charles 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
Justin Charles Clark, MD 414 Plymouth Ne, Grand Rapids, MI 49505-6041 Ph: (616) 454-3465	Justin Charles Clark, MD 414 Plymouth Ne, Grand Rapids, MI 49505-6041 Ph: (616) 454-3465

Reviews and Comments

Neurological Surgery Doctors in Grand Rapids, MI

Steve R Klafeta, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 245 Cherry St Se, Suite 207, Grand Rapids, MI 49503 Phone: 616-752-5137
Robert John Seledotis, D.O., P.C. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 847 Parchment Dr Se Ste 125, Grand Rapids, MI 49546 Phone: 616-454-9246 Fax: 616-454-6839
Marilyn L.g. Gates, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503 Phone: 616-267-7900 Fax: 616-267-7901
Dr. Hayden Matthew Kevin Boyce, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503 Phone: 616-267-7900 Fax: 616-267-7901
Jeffrey Farooq, Neurological Surgery Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503 Phone: 866-989-7999
Dr. John E. Stevenson, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 414 Plymouth Ave Ne, Grand Rapids, MI 49505 Phone: 616-454-3465 Fax: 616-454-9004
Dr. Joseph R. O'donnell, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 414 Plymouth Ave Ne, Grand Rapids, MI 49505 Phone: 616-454-3465 Fax: 616-454-9004

Justin Charles Clark, MD - Medicare Neurosurgery in Grand Rapids, MI