Kellie Marie Clark, MD - Medicare Family Medicine in Middleville, MI

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Kellie Marie Clark, MD is a medicare enrolled "Family Medicine" physician in Middleville, Michigan. Her current practice location is 490 Edward St, Middleville, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 795-4434.

Kellie Marie Clark is licensed to practice in Michigan (license number 4301511876) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619585403.

Contact Information

Kellie Marie Clark, MD
490 Edward St,
Middleville, MI 49333-9131
(269) 795-4434
(269) 795-4271

Map and Direction




Physician's Profile

Full NameKellie Marie Clark
GenderFemale
SpecialityFamily Medicine
Location490 Edward St, Middleville, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619585403
  • Provider Enumeration Date: 07/17/2020
  • Last Update Date: 09/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8426459942
  • Enrollment ID: I20210622001326

Medical Identifiers

Medical identifiers for Kellie Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619585403NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301511876 (Michigan)Primary

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. Kellie Marie 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 AddressPractice Location Address
Kellie Marie Clark, MD
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: () -		Kellie Marie Clark, MD
490 Edward St,
Middleville, MI 49333-9131

Ph: (269) 795-4434

Reviews and Comments


Family Medicine Doctors in Middleville, MI

Dr. Lynda Jeanne Margaret Simpson, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 490 Edward St, Middleville, MI 49333
Phone: 269-795-4434    
Dr. Christopher James Noah, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 4525 N M 37 Hwy, Ste M, Middleville, MI 49333
Phone: 269-795-4434    Fax: 269-795-4271
Matthew Risk Garber, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 490 Edward St, Middleville, MI 49333
Phone: 269-795-4434    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.