Michael Robert Clark, MD in Falls Church, VA - Medicare Psychiatry & Neurology

Michael Robert Clark, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Falls Church, Virginia. His current practice location is 3300 Gallows Rd, Falls Church, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 776-4001.

Michael Robert Clark is licensed to practice in Virginia (license number 0101263339) 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 1124070024.

Contact Information

	Michael Robert Clark, MD
	3300 Gallows Rd, Falls Church, VA 22042-3300
	(703) 776-4001
	(703) 776-7113

Map and Direction

Physician's Profile

Full Name	Michael Robert Clark
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	3300 Gallows Rd, Falls Church, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124070024
Provider Enumeration Date: 05/17/2006
Last Update Date: 10/12/2020

Medicare PECOS Information:

PECOS PAC ID: 4082747902
Enrollment ID: I20171208000452

Medical Identifiers

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

Identifier	Type	State	Issuer
1124070024	NPI	-	NPPES
417331700	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	D35708 (Maryland)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	0101263339 (Virginia)	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. Michael Robert Clark allows following entities to bill medicare on his behalf.

Entity Name	Inova Health Care Services
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20110104000935

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. Michael Robert 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
Michael Robert Clark, MD 3300 Gallows Rd, Falls Church, VA 22042-3300 Ph: (703) 776-4001	Michael Robert Clark, MD 3300 Gallows Rd, Falls Church, VA 22042-3300 Ph: (703) 776-4001

Reviews and Comments

Psychiatry & Neurology Doctors in Falls Church, VA

Allison Elizabeth Tweedie, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 Fax: 703-776-7113
Dr. Ashnoo Nanavati, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3626
Huong Thixuan Dang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6408 Seven Corners Pl Ste D, Falls Church, VA 22044 Phone: 703-505-4906 Fax: 703-237-6704
Catherine C Crone, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Physician Billing, Falls Church, VA 22042 Phone: 703-776-1110 Fax: 703-776-2917
Sumana Suresh, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 N Washington St Ste 200, Falls Church, VA 22046 Phone: 703-522-1175 Fax: 703-522-2608
Dr. Chan Dang-vu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7297 Lee Hwy, Falls Church, VA 22042 Phone: 703-538-2772 Fax: 703-538-2773
Dr. Yu Dong, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3626

Michael Robert Clark, MD - Medicare Psychiatry & Neurology in Falls Church, VA