Mark A Clark, MD in Atlanta, GA - Medicare Family Medicine

Mark A Clark, MD is a medicare enrolled "Family Medicine" physician in Atlanta, Georgia. His current practice location is 1745 Peachtree St Ste U, Internal Medicine Health Care Team A, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 888-7646.

Mark A Clark is licensed to practice in Georgia (license number 042805) 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 1417061458.

Contact Information

	Mark A Clark, MD
	1745 Peachtree St Ste U, Internal Medicine Health Care Team A, Atlanta, GA 30309
	(404) 888-7646
	(404) 888-7647

Map and Direction

Physician's Profile

Full Name	Mark A Clark
Gender	Male
Speciality	Family Medicine
Location	1745 Peachtree St Ste U, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417061458
Provider Enumeration Date: 08/18/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7416905351
Enrollment ID: I20050107000416

Medical Identifiers

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

Identifier	Type	State	Issuer
1417061458	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	042805 (Georgia)	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. Mark A Clark allows following entities to bill medicare on his behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Mark A 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
Mark A Clark, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1736 Ph: (404) 364-7000	Mark A Clark, MD 1745 Peachtree St Ste U, Internal Medicine Health Care Team A, Atlanta, GA 30309 Ph: (404) 888-7646

Reviews and Comments

Family Medicine Doctors in Atlanta, GA

Fidelia O Osinubi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3885 Princeton Lakes Way, Suite 402, Atlanta, GA 30331 Phone: 404-349-0496 Fax: 404-349-6081
Theresa R Jacobs, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 868 York Ave Sw, Atlanta, GA 30310 Phone: 404-752-1400 Fax: 404-758-0740
David M Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1046 Ridge Ave Sw, Atlanta, GA 30315 Phone: 404-688-1350 Fax: 404-564-6734
Dr. Bhavi Patel Purohit, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 Westview Dr Sw, Atlanta, GA 30310 Phone: 404-756-1230 Fax: 404-752-8682
Dr. Edmond Shih, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5461 Buford Hwy Ne, Atlanta, GA 30340 Phone: 770-457-5556 Fax: 770-457-7776
Zahidul Islam Chowdhury, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 N Highland Ave Ne, Suite F, Atlanta, GA 30307 Phone: 404-658-9840 Fax: 404-658-9846
Marissa Benn Lapedis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 W Peachtree St Nw Ste 200a, Atlanta, GA 30309 Phone: 404-575-2000 Fax: 404-575-2001

Mark A Clark, MD - Medicare Family Medicine in Atlanta, GA