Matthew Ryan Clark, MD in Charlotte, NC

Matthew Ryan Clark, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Charlotte, North Carolina. He went to University Of Florida College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatologic Surgery Of The Carolinas Llc, Dermatologic Surgery Of The Carolinas Llc and his current practice location is 15830 Ballantyne Medical Pl Ste 225, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 919-1105.

Matthew Ryan Clark is licensed to practice in Oregon (license number MD195653) 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 1194162230.

Contact Information

	Matthew Ryan Clark, MD
	15830 Ballantyne Medical Pl Ste 225, Charlotte, NC 28277-0760
	(704) 919-1105
	(704) 910-3163

Map and Direction

Physician's Profile

Full Name	Matthew Ryan Clark
Gender	Male
Speciality	Dermatology
Experience	11 Years
Location	15830 Ballantyne Medical Pl Ste 225, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Matthew Ryan Clark attended and graduated from University Of Florida College Of Medicine in 2013

NPI Data:

NPI Number: 1194162230
Provider Enumeration Date: 05/30/2013
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 1153564380
Enrollment ID: I20230808003577

Medical Identifiers

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

Identifier	Type	State	Issuer
1194162230	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	2023-00924 (North Carolina)	Secondary
207N00000X	Dermatology	MMD89666MD (South Carolina)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	2023-00924 (North Carolina)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	MMD89666MD (South Carolina)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	MD195653 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dermatologic Surgery Of The Carolinas Llc	1557448537	3
Dermatologic Surgery Of The Carolinas Llc	1557448537	3

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. Matthew Ryan Clark allows following entities to bill medicare on his behalf.

Entity Name	Dermatologic Surgery Of The Carolinas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790961670 PECOS PAC ID: 1557448537 Enrollment ID: O20080402000293

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. Matthew Ryan 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
Matthew Ryan Clark, MD 1390 S Potomac St Ste 124, Aurora, CO 80012-4529 Ph: (303) 368-8611	Matthew Ryan Clark, MD 15830 Ballantyne Medical Pl Ste 225, Charlotte, NC 28277-0760 Ph: (704) 919-1105

Reviews and Comments

Dermatology Doctors in Charlotte, NC

Dr. Coleman Eric Altman, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2630 E Seventh St, Suite 200, Charlotte, NC 28204 Phone: 704-364-6110 Fax: 704-364-4245
Sam Wu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 309 S Sharon Amity Rd Ste 200, Charlotte, NC 28211 Phone: 704-344-8846
Dr. Deborah Gardner Nixon, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8936 Blakeney Professional Dr, Charlotte, NC 28277 Phone: 704-341-0090 Fax: 704-341-0092
Dr. Curtis Wayne Schupbach, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2620 E 7th St, Charlotte, NC 28204 Phone: 704-358-9900 Fax: 704-344-0105
Daren Diiorio, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4525 Cameron Valley Pkwy, Ste 2100, Charlotte, NC 28211 Phone: 704-355-5100
Dr. Marc Alan Darst, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11301 Golf Links Dr N, Suite 203, Charlotte, NC 28277 Phone: 704-321-3376 Fax: 704-541-6558
Jonathan M Olson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15830 Ballantyne Medical Pl, Suite 225, Charlotte, NC 28277 Phone: 704-919-1105 Fax: 704-910-3163

Matthew Ryan Clark, MD - Medicare Dermatology in Charlotte, NC