Justin Clark, DO is a medicare enrolled "Allergy & Immunology" physician in Fort Walton Beach, Florida. He went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 2000 and has 24 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice All Seasons Allergy And Asthma Center, P.a. and his current practice location is
362 Beal Pkwy Nw Ste 105, Fort Walton Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 862-3020.
Justin Clark is licensed to practice in Florida (license number OS9224) 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 1538129085.
Physician's Profile
| Full Name | Justin Clark |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 24 Years |
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| Location | 362 Beal Pkwy Nw Ste 105, Fort Walton Beach, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Justin Clark attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 2000
NPI Data:
- NPI Number: 1538129085
- Provider Enumeration Date: 03/27/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 6800881483
- Enrollment ID: I20050920000377
Medical Identifiers
Medical identifiers for Justin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538129085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | OS9224 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| All Seasons Allergy And Asthma Center, P.a. | 2264465376 | 2 |
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 Clark allows following entities to bill medicare on his behalf.
| Entity Name | All Seasons Allergy And Asthma Center, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578618104
PECOS PAC ID: 2264465376
Enrollment ID: O20050917000468 |
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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 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 |
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Justin Clark, DO
362 Beal Pkwy Nw Ste 105,
Fort Walton Beach, FL 32548-3926
Ph: (850) 862-3020 | Justin Clark, DO
362 Beal Pkwy Nw Ste 105,
Fort Walton Beach, FL 32548-3926
Ph: (850) 862-3020 |
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