Kelly Jeanne Clark, MD in Traverse City, MI

Kelly Jeanne Clark, MD is a medicare enrolled "Family Medicine" physician in Traverse City, Michigan. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Munson Medical Group and her current practice location is 1400 Medical Campus Dr, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 935-8031.

Kelly Jeanne Clark is licensed to practice in Michigan (license number 4301090780) 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 1487806717.

Contact Information

	Kelly Jeanne Clark, MD
	1400 Medical Campus Dr, Traverse City, MI 49684-7823
	(231) 935-8031
	(231) 935-8099

Map and Direction

Physician's Profile

Full Name	Kelly Jeanne Clark
Gender	Female
Speciality	Family Practice
Experience	17 Years
Location	1400 Medical Campus Dr, Traverse City, Michigan
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:

Kelly Jeanne Clark graduated from medical school in 2007

NPI Data:

NPI Number: 1487806717
Provider Enumeration Date: 10/17/2008
Last Update Date: 10/26/2020

Medicare PECOS Information:

PECOS PAC ID: 8921293531
Enrollment ID: I20101110000163

Medical Identifiers

Medical identifiers for Kelly Jeanne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487806717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301090780 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Munson Medical Center	Traverse city, MI	Hospital
Paul Oliver Memorial Hospital	Frankfort, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Munson Medical Group	8820277015	139

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. Kelly Jeanne Clark allows following entities to bill medicare on her behalf.

Entity Name	Munson Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904

Entity Name	Munson Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061

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. Kelly Jeanne 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
Kelly Jeanne Clark, MD 1400 Medical Campus Dr, Traverse City, MI 49684-7823 Ph: (231) 935-8031	Kelly Jeanne Clark, MD 1400 Medical Campus Dr, Traverse City, MI 49684-7823 Ph: (231) 935-8031

Reviews and Comments

Family Medicine Doctors in Traverse City, MI

Satya Pillay, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684 Phone: 231-935-8000 Fax: 231-935-8099
Samantha K Windle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684 Phone: 231-935-8000 Fax: 231-935-8099
Dr. Donald James Aiken, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16544 Wrightwood Terrace Dr, Traverse City, MI 49686 Phone: 231-223-7465
Kaitlyn Lee Kilpatrick, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684 Phone: 231-935-8000 Fax: 231-935-8099
Ferris Alkazir, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Munson Ave, Traverse City, MI 49686 Phone: 231-935-6600 Fax: 231-935-9290
David J Wilcox, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 906 Business Park Dr, Traverse City, MI 49686 Phone: 800-968-6866
Mark A Jackson, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1000 Pavilions Circle, Mark A Jackson Md Plc, Traverse City, MI 49684 Phone: 231-935-0913 Fax: 231-935-0984

Kelly Jeanne Clark, MD - Medicare Family Practice in Traverse City, MI