Todd V Clark, MD in Lexington, KY - Medicare Dermatology

Todd V Clark, MD is a medicare enrolled "Dermatology" physician in Lexington, Kentucky. His current practice location is 250 Fountain Ct, Attn: Lauren Bryant, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 263-4444.

Todd V Clark is licensed to practice in Kentucky (license number 42806) 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 1205078664.

Contact Information

	Todd V Clark, MD
	250 Fountain Ct, Attn: Lauren Bryant, Lexington, KY 40509-1888
	(859) 263-4444
	(859) 254-1814

Map and Direction

Physician's Profile

Full Name	Todd V Clark
Gender	Male
Speciality	Dermatology
Location	250 Fountain Ct, Lexington, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205078664
Provider Enumeration Date: 04/01/2009
Last Update Date: 12/17/2013

Medicare PECOS Information:

PECOS PAC ID: 1456404011
Enrollment ID: I20221114001986

Medical Identifiers

Medical identifiers for Todd V Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205078664	NPI	-	NPPES
000000612211	Other		ANTHEM BLUE CROSS & BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	42806 (Kentucky)	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. Todd V Clark allows following entities to bill medicare on his behalf.

Entity Name	Central Kentucky Dermatology Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124741780 PECOS PAC ID: 2860869351 Enrollment ID: O20221114001903

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. Todd V 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
Todd V Clark, MD 250 Fountain Ct, Attn: Lauren Bryant, Lexington, KY 40509-1888 Ph: (859) 263-4444	Todd V Clark, MD 250 Fountain Ct, Attn: Lauren Bryant, Lexington, KY 40509-1888 Ph: (859) 263-4444

Reviews and Comments

Dermatology Doctors in Lexington, KY

Charlie Becknell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 250 Fountain Ct, Lexington, KY 40509 Phone: 859-263-4444 Fax: 859-254-1814
Leigh Ann Carter Beard, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 715 Shaker Dr Ste 132, Lexington, KY 40504 Phone: 859-288-5004 Fax: 859-288-5007
Dr. Dana Black, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3475 Richmond Rd, Suite 200, Lexington, KY 40509 Phone: 859-296-4400 Fax: 859-296-4300
Dr. Sean A Marzolf, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 250 Fountain Ct, Lexington, KY 40509 Phone: 859-263-4444 Fax: 859-263-6781
Dr. Tandy Sutton Repass, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3475 Richmond Rd Ste 200, Lexington, KY 40509 Phone: 859-296-4400
Dr. Clifton Smith, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 177 Burt Rd, Lexington, KY 40503 Phone: 859-276-1511 Fax: 859-276-3373
Deborah K Phillips, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4071 Tates Creek Centre Dr Ste 202, Lexington, KY 40517 Phone: 859-226-0206

Todd V Clark, MD - Medicare Dermatology in Lexington, KY