Kathleen Anne Clark, MD | |
5701 Time Square Blvd Ste 220, Amarillo, TX 79119-1178 | |
(806) 350-7311 | |
(806) 350-7361 |
Full Name | Kathleen Anne Clark |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 5701 Time Square Blvd Ste 220, Amarillo, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518103886 | NPI | - | NPPES |
200232280 A | Medicaid | OK | |
8L8001 | Other | TX | MEDICARE |
83982876 | Medicaid | NM | |
8L20138 | Other | TX | MEDICARE - OB/GYN |
199457601 | Medicaid | TX | |
199457602 | Other | TX | MEDICAID - OB/GYN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 42540 (Texas) | Primary |
207R00000X | Internal Medicine | 251181-1 (New York) | Secondary |
207V00000X | Obstetrics & Gynecology | 42540 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
High Plains Senior Care | Amarillo, TX | Home health agency |
Baptist St Anthony's Hospital | Amarillo, TX | Hospital |
Entity Name | Kathleen A Clark Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083085385 PECOS PAC ID: 1355609736 Enrollment ID: O20171212000986 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Anne Clark, MD 5701 Time Square Blvd Ste 220, Amarillo, TX 79119-1178 Ph: (806) 350-7311 | Kathleen Anne Clark, MD 5701 Time Square Blvd Ste 220, Amarillo, TX 79119-1178 Ph: (806) 350-7311 |
James Edward Lusby, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6700 W 9th Ave, Amarillo, TX 79106 Phone: 806-358-0200 Fax: 806-356-5590 | |
Henry David Bruton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6700 W 9th Ave, Amarillo, TX 79106 Phone: 806-358-0200 Fax: 806-356-5511 | |
Dr. Anjali Subhash Kherdekar, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12 Care Cir, Amarillo, TX 79124 Phone: 806-353-7417 Fax: 806-353-4007 | |
James P.a. Yhip, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1660 Point West Pkwy, Amarillo, TX 79124 Phone: 806-510-4244 Fax: 806-510-7211 | |
Dr. Michael John Lamanteer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1600 Wallace Blvd, Amarillo, TX 79106 Phone: 806-212-2129 Fax: 806-212-2246 | |
Thien Toan Vo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-414-9100 Fax: 806-354-5717 | |
John Scott Milton, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-354-5480 Fax: 806-354-5764 |