Kristopher Clark, MD in Williamsville, NY - Medicare Internal Medicine

Kristopher Clark, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Williamsville, New York. His current practice location is 1020 Youngs Rd Ste 100, Williamsville, New York. You can reach out to his office (for appointments etc.) via phone at (716) 961-9900.

Kristopher Clark is licensed to practice in New York (license number 320529) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619339439.

Contact Information

	Kristopher Clark, MD
	1020 Youngs Rd Ste 100, Williamsville, NY 14221-2698
	(716) 961-9900
	(716) 961-9911

Map and Direction

Physician's Profile

Full Name	Kristopher Clark
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	1020 Youngs Rd Ste 100, Williamsville, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619339439
Provider Enumeration Date: 03/22/2016
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2365737798
Enrollment ID: I20230313000498

Medical Identifiers

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

Identifier	Type	State	Issuer
1619339439	NPI	-	NPPES
320529	Other	NY	NEW YORK STATE OFFICE OF PROFESSIONS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	320529 (New York)	Primary

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. Kristopher Clark allows following entities to bill medicare on his behalf.

Entity Name	Kaleida Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366473183 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212

Entity Name	Academic Medicine Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255394763 PECOS PAC ID: 0941105241 Enrollment ID: O20040429000839

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. Kristopher 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
Kristopher Clark, MD 1020 Youngs Rd Ste 100, Williamsville, NY 14221-2698 Ph: (716) 961-9900	Kristopher Clark, MD 1020 Youngs Rd Ste 100, Williamsville, NY 14221-2698 Ph: (716) 961-9900

Reviews and Comments

Internal Medicine Doctors in Williamsville, NY

Maria Kontos, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 325 Essjay Rd, Williamsville, NY 14221 Phone: 716-656-4463
Dr. Anderson Ka Ho Lai, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1540 Maple Rd, Williamsville, NY 14221 Phone: 716-568-3514
Colleen Klos, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1540 Maple Rd, Williamsville, NY 14221 Phone: 716-568-3514
Dawn Patricia Hrab, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1835 Maple Rd, Williamsville, NY 14221 Phone: 716-634-5410 Fax: 716-634-0430
Cheri A Gorski-suhr, RPAC Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 825 Wehrle Drive, Cardiology Group Of Western New York,pc, Williamsville, NY 14221 Phone: 716-634-3243 Fax: 716-634-1930
Yijun Cheng, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 295 Essjay Rd, Williamsville, NY 14221 Phone: 716-630-1048
Mr. Martin Neal Mango, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1825 Maple Rd, Williamsville, NY 14221 Phone: 716-631-0834 Fax: 716-631-0880

Kristopher Clark, MD - Medicare Internal Medicine in Williamsville, NY