Kanchan Puri Clark, MD in Danville, VA

Kanchan Puri Clark, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Danville, Virginia. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Prince William County and her current practice location is 382 Taylor Dr, Danville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 773-4240.

Kanchan Puri Clark is licensed to practice in Virginia (license number VA0101057674) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649230509.

Contact Information

	Kanchan Puri Clark, MD
	382 Taylor Dr, Danville, VA 24541
	(434) 773-4240
	(434) 773-4241

Map and Direction

Physician's Profile

Full Name	Kanchan Puri Clark
Gender	Female
Speciality	Psychiatry
Experience	38 Years
Location	382 Taylor Dr, Danville, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kanchan Puri Clark graduated from medical school in 1986

NPI Data:

NPI Number: 1649230509
Provider Enumeration Date: 03/24/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0941590608
Enrollment ID: I20161017002292

Medical Identifiers

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

Identifier	Type	State	Issuer
1649230509	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	VA0101057674 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prince William County	7113912973	29

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. Kanchan Puri Clark allows following entities to bill medicare on her behalf.

Entity Name	Prince William County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053402800 PECOS PAC ID: 7113912973 Enrollment ID: O20040420000249

Entity Name	Commonwealth Of Virginia Department Of Behavioral Health And Southern
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386704898 PECOS PAC ID: 3173502713 Enrollment ID: O20040716000396

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. Kanchan Puri 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
Kanchan Puri Clark, MD 382 Taylor Dr, Danville, VA 24541 Ph: (434) 773-4240	Kanchan Puri Clark, MD 382 Taylor Dr, Danville, VA 24541 Ph: (434) 773-4240

Reviews and Comments

Psychiatry & Neurology Doctors in Danville, VA

Wales Thottathikunnath George, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 382 Taylor Dr, Danville, VA 24541 Phone: 434-799-3220
Renuka N Prasad, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 212 S Main St, Suite 3, Danville, VA 24541 Phone: 434-799-9020 Fax: 434-799-3451
Chandrakant M Patel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 212 S Main St, Suite # 2, Danville, VA 24541 Phone: 434-799-2400 Fax: 434-793-0239
Donovan Deryl Clark, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 382 Taylor Dr, Danville, VA 24541 Phone: 434-773-4240 Fax: 434-773-4241
Suresh M Patel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 382 Taylor Dr, Southern Virginia Mental Health Institute, Danville, VA 24541 Phone: 434-799-6220 Fax: 434-773-4241
Mikhail O. Chizhikov, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 291 Park Ave, Danville, VA 24541 Phone: 434-799-3310 Fax: 434-799-3317
Dr. Dana Lowenthal, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 480 Mount Cross Rd, Danville, VA 24540 Phone: 866-934-7450

Kanchan Puri Clark, MD - Medicare Psychiatry in Danville, VA