Tanner Cody Clark, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Bedford, Nh 03110, New Hampshire. His current practice location is
703 Riverway Place, Bedford, Nh 03110, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 627-1661.
Tanner Cody Clark is licensed to practice in New Hampshire (license number 24268) 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 1689060139.
Physician's Profile
Full Name | Tanner Cody Clark |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 703 Riverway Place, Bedford, Nh 03110, New Hampshire |
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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. |
Medical Education and Training:
- Tanner Cody Clark attended and graduated from in
NPI Data:
- NPI Number: 1689060139
- Provider Enumeration Date: 04/11/2015
- Last Update Date: 09/08/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tanner Cody Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689060139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | MD60961230 (Washington) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 24268 (New Hampshire) | 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. Tanner Cody 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 |
Tanner Cody Clark, MD 703 Riverway Place, Bedford, Nh 03110, NH 03110 Ph: (603) 627-1661 | Tanner Cody Clark, MD 703 Riverway Place, Bedford, Nh 03110, NH 03110 Ph: (603) 627-1661 |
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