Samuel T Clark Ii, MD - Medicare Family Practice in Phoenix, AZ

Samuel T Clark Ii, MD is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. He went to University Of Louisville School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sunny View Medical Center Pllc and his current practice location is 4400 N 32nd St, Ste 110, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 956-9595.

Samuel T Clark Ii is licensed to practice in Arizona (license number 27446) 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 1073506036.

Contact Information

Samuel T Clark Ii, MD
4400 N 32nd St, Ste 110,
Phoenix, AZ 85018-3953
(602) 956-9595
(602) 956-3232

Map and Direction




Physician's Profile

Full NameSamuel T Clark Ii
GenderMale
SpecialityFamily Practice
Experience28 Years
Location4400 N 32nd St, Phoenix, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel T Clark Ii attended and graduated from University Of Louisville School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1073506036
  • Provider Enumeration Date: 08/25/2005
  • Last Update Date: 04/01/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3678551421
  • Enrollment ID: I20040709000149

Medical Identifiers

Medical identifiers for Samuel T Clark Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073506036NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 27446 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sunny View Medical Center Pllc78109526865

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. Samuel T Clark Ii allows following entities to bill medicare on his behalf.
Entity NameSunny View Medical Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992873350
PECOS PAC ID: 7810952686
Enrollment ID: O20041122000667

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. Samuel T Clark Ii 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 AddressPractice Location Address
Samuel T Clark Ii, MD
4400 N 32nd St, Ste 110,
Phoenix, AZ 85018-3953

Ph: (602) 956-9595
Samuel T Clark Ii, MD
4400 N 32nd St, Ste 110,
Phoenix, AZ 85018-3953

Ph: (602) 956-9595

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.