Leo Jp Clark, MD is a medicare enrolled "Neurological Surgery" physician in Maumee, Ohio. His current practice location is
5705 Monclova Rd, Suite 204, Maumee, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 891-8045.
Leo Jp Clark is licensed to practice in Ohio (license number 35039317C) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659374007.
Physician's Profile
| Full Name | Leo Jp Clark |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 5705 Monclova Rd, Maumee, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Leo Jp Clark attended and graduated from in
NPI Data:
- NPI Number: 1659374007
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 01/12/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Leo Jp Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659374007 | NPI | - | NPPES |
| 318954 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | 35039317C (Ohio) | 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. Leo Jp 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 |
|---|
Leo Jp Clark, MD
1 Seagate, Suite 800,
Toledo, OH 43604-1558
Ph: (567) 585-1983 | Leo Jp Clark, MD
5705 Monclova Rd, Suite 204,
Maumee, OH 43537-1875
Ph: (419) 891-8045 |
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