Kevin R Clark, DO - Medicare Emergency Medicine in Hickory, NC

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Kevin R Clark, DO is a medicare enrolled "Emergency Medicine" physician in Hickory, North Carolina. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Geriatric Consultants Pllc and his current practice location is 420 N Center St, Hickory, North Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 237-3378.

Kevin R Clark is licensed to practice in North Carolina (license number 200300020) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1053373399.

Contact Information

Kevin R Clark, DO
420 N Center St,
Hickory, NC 28601-5046
(843) 237-3378
(843) 237-5073

Map and Direction




Physician's Profile

Full NameKevin R Clark
GenderMale
SpecialityEmergency Medicine
Experience37 Years
Location420 N Center St, Hickory, North Carolina
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin R Clark attended and graduated from Philadelphia College Of Osteopathic Medicine in 1987
  NPI Data:
  • NPI Number: 1053373399
  • Provider Enumeration Date: 04/03/2006
  • Last Update Date: 03/17/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 5799735445
  • Enrollment ID: I20050131000236

Medical Identifiers

Medical identifiers for Kevin R Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053373399NPI-NPPES
891293CMedicaidNC
1293COtherNCBCBS
P00251742OtherNCRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 200300020 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Liberty Home Care And HospiceRaeford, NCHospice
Catawba Regional HospiceNewton, NCHospice
Hospice & Palliative Care Charlotte RegionCharlotte, NCHospice
Caldwell Hospice And Palliative Care IncLenoir, NCHospice
Atrium Health LincolnLincolnton, NCHospital
Frye Regional Medical CenterHickory, NCHospital
Caldwell Memorial HospitalLenoir, NCHospital
Watauga Medical CenterBoone, NCHospital
Brian Center Health & Retirement/lincolntonLincolnton, NCNursing home
Lincolnton Rehabilitation CenterLincolnton, NCNursing home
Brian Center Health & Rehab Hickory ViewmontHickory, NCNursing home
The Foley Center At Chestnut RidgeBlowing rock, NCNursing home
Accordius Health At WilkesboroWilkesboro, NCNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geriatric Consultants Pllc529413238732

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. Kevin R Clark allows following entities to bill medicare on his behalf.
Entity NameGeriatric Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801478086
PECOS PAC ID: 5294132387
Enrollment ID: O20210915003266
Entity NameCareconnectmd North Carolina P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104507441
PECOS PAC ID: 3971965898
Enrollment ID: O20230809002596

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. Kevin R 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
Kevin R Clark, DO
Po Box 60359,
Charlotte, NC 28260-0359

Ph: (843) 237-3378		Kevin R Clark, DO
420 N Center St,
Hickory, NC 28601-5046

Ph: (843) 237-3378

Reviews and Comments


Emergency Medicine Doctors in Hickory, NC

Calder Abbott Staben, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 810 Fairgrove Church Rd, Hickory, NC 28602
Phone: 828-326-3000    
Dr. Gary W Greer, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 810 Fairgrove Church Rd, Hickory, NC 28602
Phone: 828-326-3000    
Aaron J Braunsteiner, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 420 N Center St, Hickory, NC 28601
Phone: 828-315-5000    
Frank C Smeeks Iii, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 420 N Center St, Hickory, NC 28601
Phone: 828-315-3199    
Dr. Christopher Peluso, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 810 Fairgrove Church Rd, Hickory, NC 28602
Phone: 828-326-3000    
Debra Cooper, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 52 12th Ave Ne, Hickory, NC 28601
Phone: 828-328-2941    Fax: 828-328-4049

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.