Spurgeon William Clark Iii, M D is a medicare enrolled "Ophthalmology" physician in Waycross, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
502 Isabella Street, Waycross, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 285-2020.
Spurgeon William Clark Iii is licensed to practice in Georgia (license number 024916) 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 1538334933.
Physician's Profile
| Full Name | Spurgeon William Clark Iii |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 45 Years |
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| Location | 502 Isabella Street, Waycross, Georgia |
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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:
- Spurgeon William Clark Iii attended and graduated from Medical College Of Georgia School Of Medicine in 1979
NPI Data:
- NPI Number: 1538334933
- Provider Enumeration Date: 04/25/2008
- Last Update Date: 09/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 8820177728
- Enrollment ID: I20080503000036
Medical Identifiers
Medical identifiers for Spurgeon William Clark Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538334933 | NPI | - | NPPES |
| 000264547B | Medicaid | GA | |
| 024581 | Other | GA | BCBS |
| 180011242 | Other | GA | MEDICARE RR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 024916 (Georgia) | Primary |
| 207W00000X | Ophthalmology | 24916 (Georgia) | Secondary |
Medical Facilities Affiliation
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. Spurgeon William Clark Iii allows following entities to bill medicare on his behalf.
| Entity Name | The Clark Eye Clinic, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952425654
PECOS PAC ID: 7113914755
Enrollment ID: O20040427000751 |
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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. Spurgeon William Clark Iii 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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Spurgeon William Clark Iii, M D
P.o. Box 2009,
Waycross, GA 31502-2009
Ph: (912) 285-2020 | Spurgeon William Clark Iii, M D
502 Isabella Street,
Waycross, GA 31501-3638
Ph: (912) 285-2020 |
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