Timothy A Clark, MD in Enola, PA - Medicare Internal Medicine

Timothy A Clark, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Enola, Pennsylvania. His current practice location is 2250 Millennium Way, Ste 400, Enola, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 724-2791.

Timothy A Clark is licensed to practice in Pennsylvania (license number MD067096L) 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 1407814726.

Contact Information

	Timothy A Clark, MD
	2250 Millennium Way, Ste 400, Enola, PA 17025
	(717) 724-2791
	(717) 724-2797

Map and Direction

Physician's Profile

Full Name	Timothy A Clark
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	2250 Millennium Way, Enola, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407814726
Provider Enumeration Date: 05/03/2006
Last Update Date: 07/06/2012

Medicare PECOS Information:

PECOS PAC ID: 9133101447
Enrollment ID: I20040602000178

Medical Identifiers

Medical identifiers for Timothy A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407814726	NPI	-	NPPES
001821036	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	MD067096L (Pennsylvania)	Primary

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. Timothy A Clark allows following entities to bill medicare on his behalf.

Entity Name	Clearfield-jefferson Primary Care Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710233895 PECOS PAC ID: 6002064433 Enrollment ID: O20120910000652

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. Timothy A 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
Timothy A Clark, MD 2250 Millennium Way, Ste 400, Enola, PA 17025 Ph: (717) 724-2791	Timothy A Clark, MD 2250 Millennium Way, Ste 400, Enola, PA 17025 Ph: (717) 724-2791

Reviews and Comments

Internal Medicine Doctors in Enola, PA

Ashad Shahid Syed, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1824 Good Hope Rd, Enola, PA 17025 Phone: 717-732-8877 Fax: 717-732-9241
Dr. Carrie Louise Delone, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1824 Good Hope Rd, Enola, PA 17025 Phone: 717-732-8877
Mrs. Firdausi Matawalle, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1824 Good Hope Rd, Enola, PA 17025 Phone: 717-732-8877 Fax: 717-732-9241
Pravin Gadani, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 30 E Shady Ln, Enola, PA 17025 Phone: 717-732-4911 Fax: 717-732-6091
Anupam Srivastava, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2020 Good Hope Rd Ste 100, Enola, PA 17025 Phone: 717-728-3636 Fax: 717-728-3640
Thomas Chu, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1830 Good Hope Rd, Enola, PA 17025 Phone: 717-988-8135 Fax: 717-221-5600

Timothy A Clark, MD - Medicare Internal Medicine in Enola, PA