Shane B Clark, DO - Medicare Internal Medicine in Fleming Island, FL

Shane B Clark, DO is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Fleming Island, Florida. His current practice location is 2310 Village Square Pkwy Ste 106c, Fleming Island, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 202-7300.

Shane B Clark is licensed to practice in Florida (license number OS21375) 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 1902391477.

Contact Information

Shane B Clark, DO
2310 Village Square Pkwy Ste 106c,
Fleming Island, FL 32003-6409
(904) 202-7300
(904) 202-7433

Map and Direction




Physician's Profile

Full NameShane B Clark
GenderMale
SpecialityInternal Medicine - Hematology & Oncology
Location2310 Village Square Pkwy Ste 106c, Fleming Island, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902391477
  • Provider Enumeration Date: 06/27/2018
  • Last Update Date: 08/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1153679394
  • Enrollment ID: I20180806000539

Medical Identifiers

Medical identifiers for Shane B Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902391477NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0000XInternal Medicine - Hematology OS21375 (Florida)Secondary
207RX0202XInternal Medicine - Medical Oncology OS21375 (Florida)Secondary
207RH0003XInternal Medicine - Hematology & Oncology OS21375 (Florida)Primary

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. Shane B 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 AddressPractice Location Address
Shane B Clark, DO
Po Box 746654,
Atlanta, GA 30374-6654

Ph: (904) 202-2092
Shane B Clark, DO
2310 Village Square Pkwy Ste 106c,
Fleming Island, FL 32003-6409

Ph: (904) 202-7300

Reviews and Comments


Internal Medicine Doctors in Fleming Island, FL

Augusto E Villegas, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 4689 Us Highway 17 Ste 2-5, Fleming Island, FL 32003
Phone: 904-269-6526    Fax: 904-269-6527
Dr. Hema Madhavi Vankayala, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 2370 Market Dr, Fleming Island, FL 32003
Phone: 904-264-6201    Fax: 904-264-6858
Carlos Rafael Zamora, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1747 Baptist Clay Dr, Suite 320, Fleming Island, FL 32003
Phone: 904-224-5185    Fax: 904-278-7284
Dr. Mehdi M Moezi, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 2370 Market Dr, Fleming Island, FL 32003
Phone: 094-264-6201    Fax: 904-264-6858
Dr. Kabir A Yousuf, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1747 Baptist Clay Dr Ste 320, Fleming Island, FL 32003
Phone: 904-224-5185    Fax: 904-278-7284
Spencer Chapman Knox, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1747 Baptist Clay Dr Ste 300, Fleming Island, FL 32003
Phone: 904-214-8080    Fax: 904-214-8081
Satish P Shanbhag, MD,MPH
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 2370 Market Dr, Fleming Island, FL 32003
Phone: 904-264-6201    Fax: 904-264-6858

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.