Robert T Clark Jr, MD is a medicare enrolled "Family Medicine" physician in Elkhart, Kansas. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 2003 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Morton County Hospital, Victory Clinic Llc and his current practice location is
445 Hilltop, Elkhart, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 697-2141.
Robert T Clark Jr is licensed to practice in Kansas (license number 04-34214) 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 1811903560.
Physician's Profile
| Full Name | Robert T Clark Jr |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 22 Years |
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| Location | 445 Hilltop, Elkhart, Kansas |
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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:
- Robert T Clark Jr attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2003
NPI Data:
- NPI Number: 1811903560
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 09/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668574633
- Enrollment ID: I20100610001087
Medical Identifiers
Medical identifiers for Robert T Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811903560 | NPI | - | NPPES |
| 200642090A | Medicaid | KS | |
| 063623501 | Medicaid | TX | |
| 137227810 | Medicaid | TX | |
| 0082EV | Other | TX | BLUE CROSS/BLUE SHIELD |
| 0075DJ | Other | TX | BLUE CROSS/BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | M3194 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 04-34214 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Morton County Hospital | 5395644637 | 11 |
| Victory Clinic Llc | 8729459607 | 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. Robert T Clark Jr allows following entities to bill medicare on his behalf.
| Entity Name | Edwards County Hospital And Healthcare Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649372012
PECOS PAC ID: 2264343383
Enrollment ID: O20040305000254 |
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| Entity Name | Williams Medical Group Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346608809
PECOS PAC ID: 3375832157
Enrollment ID: O20160518000391 |
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| Entity Name | Victory Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104540079
PECOS PAC ID: 8729459607
Enrollment ID: O20230201001812 |
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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. Robert T Clark Jr 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 |
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Robert T Clark Jr, MD
445 Hilltop,
Junction City, KS 67950
Ph: (620) 697-2141 | Robert T Clark Jr, MD
445 Hilltop,
Elkhart, KS 67950
Ph: (620) 697-2141 |
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