Michael L Clark, MD | |
596 W Main St, Wilmington, OH 45177-2123 | |
(937) 283-2588 | |
(937) 283-2594 |
Full Name | Michael L Clark |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 34 Years |
Location | 596 W Main St, Wilmington, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114988540 | NPI | - | NPPES |
0969420 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 35062520C (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wilmington Physicians Group Llc | 4688853419 | 33 |
Entity Name | University Of Cincinnati Physicians Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
Entity Name | Ohiohealth Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Entity Name | Alliance Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Entity Name | Licking Memorial Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
Entity Name | Highland Health Providers Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396702445 PECOS PAC ID: 0244257848 Enrollment ID: O20051101001066 |
Entity Name | Wilmington Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932401411 PECOS PAC ID: 4688853419 Enrollment ID: O20110126000617 |
Entity Name | Five Rivers Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638 |
Entity Name | Mount Carmel Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457617235 PECOS PAC ID: 6709793367 Enrollment ID: O20120727000563 |
Mailing Address | Practice Location Address |
---|---|
Michael L Clark, MD 610 W Main St, Wilmington, OH 45177-2125 Ph: (937) 283-9815 | Michael L Clark, MD 596 W Main St, Wilmington, OH 45177-2123 Ph: (937) 283-2588 |
Carrie Cooper-fenske Sanan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 596 W Main St, Wilmington, OH 45177 Phone: 937-283-2588 | |
Stephany A George, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2241 Rombach Ave, Wilmington, OH 45177 Phone: 937-283-2588 | |
Dr. John William Merling, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 Fax: 937-382-7877 | |
Shaun Patrick Jester, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2241 Rombach Ave, Wilmington, OH 45177 Phone: 937-283-2588 | |
Dr. Tina M Gabbard, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 Fax: 937-382-7877 | |
Rajiv R Patel, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 630 W Main St, Suite 307, Wilmington, OH 45177 Phone: 937-383-1588 Fax: 937-383-4525 |