Justin Patrick Clark, MD in Jacksonville, FL

Justin Patrick Clark, MD is a medicare enrolled "Family Medicine" physician in Jacksonville, Florida. He went to Meharry Medical College School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Baptist Primary Care Inc and his current practice location is 532 Riverside Ave Ste 103, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 353-5696.

Justin Patrick Clark is licensed to practice in Florida (license number ME155207) 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 1609135011.

Contact Information

	Justin Patrick Clark, MD
	532 Riverside Ave Ste 103, Jacksonville, FL 32202-4914
	(904) 353-5696
	(904) 390-7483

Map and Direction

Physician's Profile

Full Name	Justin Patrick Clark
Gender	Male
Speciality	Family Practice
Experience	12 Years
Location	532 Riverside Ave Ste 103, Jacksonville, Florida
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 Patrick Clark attended and graduated from Meharry Medical College School Of Medicine in 2012

NPI Data:

NPI Number: 1609135011
Provider Enumeration Date: 05/07/2012
Last Update Date: 10/19/2022

Medicare PECOS Information:

PECOS PAC ID: 1951541879
Enrollment ID: I20221025003302

Medical Identifiers

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

Identifier	Type	State	Issuer
1609135011	NPI	-	NPPES
1609135011	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2015027593 (Missouri)	Secondary
207Q00000X	Family Medicine	ME155207 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Home Health Care	Jacksonville, FL	Home health agency
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baptist Primary Care Inc	0648177733	405

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 Patrick Clark allows following entities to bill medicare on his behalf.

Entity Name	Baptist Primary Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248

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 Patrick 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 Patrick Clark, MD Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-1032	Justin Patrick Clark, MD 532 Riverside Ave Ste 103, Jacksonville, FL 32202-4914 Ph: (904) 353-5696

Reviews and Comments

Family Medicine Doctors in Jacksonville, FL

Dr. Wissam M Shaya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4235 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-322-8555 Fax: 904-322-8578
Kristie Driver, M.D.,M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210 Phone: 904-384-5222 Fax: 904-384-6468
Dr. Neal Raj Verma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2624 Atlantic Blvd, Jacksonville, FL 32207 Phone: 954-513-3240 Fax: 904-398-7871
Timothy Davlantes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Marcia Wayne Funderburk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208 Phone: 904-244-5802 Fax: 904-244-5791
Dr. Terry Dale Hashey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9130 Rg Skinner Parkway, Jacksonville, FL 32256 Phone: 904-538-0950 Fax: 904-538-0952
Dr. Christopher Patrick Carroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846

Justin Patrick Clark, MD - Medicare Family Practice in Jacksonville, FL