Victoria E Clark, MD,PHD - Medicare Neurological Surgery in Jacksonville, FL

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Victoria E Clark, MD,PHD is a medicare enrolled "Neurological Surgery" physician in Jacksonville, Florida. Her current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (480) 301-8000.

Victoria E Clark is licensed to practice in Florida (license number ME167420) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346699733.

Contact Information

Victoria E Clark, MD,PHD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
(480) 301-8000
Not Available

Map and Direction




Physician's Profile

Full NameVictoria E Clark
GenderFemale
SpecialityNeurological Surgery
Location4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346699733
  • Provider Enumeration Date: 06/07/2016
  • Last Update Date: 09/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941588776
  • Enrollment ID: I20230828001788

Medical Identifiers

Medical identifiers for Victoria E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346699733NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 267578 (Massachusetts)Secondary
207T00000XNeurological Surgery U2809 (Texas)Secondary
207T00000XNeurological Surgery ME167420 (Florida)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. Victoria E Clark allows following entities to bill medicare on her behalf.
Entity NamePhysicians Referral Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073574810
PECOS PAC ID: 7911801410
Enrollment ID: O20031125000953

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. Victoria E 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
Victoria E Clark, MD,PHD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (480) 301-8000		Victoria E Clark, MD,PHD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (480) 301-8000

Reviews and Comments


Neurological Surgery Doctors in Jacksonville, FL

Dr. Dunbar Alcindor, M.D
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Phone: 904-244-9052    
Clarence Watridge, MD
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Carlos Perez Vega, MD
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Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Bernard H. Guiot, M.D.
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Phone: 904-217-7450    Fax: 904-217-7483
Rachel Stein, DO
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Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Amos Olabisi Dare, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 544 Cesery Blvd, Suite 310, Jacksonville, FL 32211
Phone: 904-743-9222    Fax: 904-743-9225

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.