Zachary Charles Clark, DO in Indianapolis, IN

Zachary Charles Clark, DO is a medicare enrolled "Anesthesiology" physician in Indianapolis, Indiana. His current practice location is 1701 N Senate Blvd, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 274-0275.

Zachary Charles Clark is licensed to practice in Indiana (license number 02007156A) 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 1568025211.

Contact Information

	Zachary Charles Clark, DO
	1701 N Senate Blvd, Indianapolis, IN 46202-1239
	(317) 274-0275
	(317) 274-0256

Map and Direction

Physician's Profile

Full Name	Zachary Charles Clark
Gender	Male
Speciality	Anesthesiology
Location	1701 N Senate Blvd, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568025211
Provider Enumeration Date: 04/18/2019
Last Update Date: 11/22/2023

Medicare PECOS Information:

PECOS PAC ID: 1456680941
Enrollment ID: I20230710003428

Medical Identifiers

Medical identifiers for Zachary Charles Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568025211	NPI	-	NPPES
300038464	Medicaid	IN
095200158	Other	IN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	02007156A (Indiana)	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. Zachary Charles Clark allows following entities to bill medicare on his behalf.

Entity Name	Iu Anesthesiology Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684407 PECOS PAC ID: 5395730303 Enrollment ID: O20040419001228

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. Zachary Charles 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
Zachary Charles Clark, DO 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Zachary Charles Clark, DO 1701 N Senate Blvd, Indianapolis, IN 46202-1239 Ph: (317) 274-0275

Reviews and Comments

Anesthesiology Doctors in Indianapolis, IN

Thomas M Donahue, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-9503
John Thomas Gripe, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200
Karen L. Bumb, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-567-2180 Fax: 317-567-2191
Christian N Beaton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191
Erin S Murphy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191
Jane Gunsenhouser, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-567-2180 Fax: 317-567-2191
Makoto Kataoka, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200

Zachary Charles Clark, DO - Medicare Anesthesiology in Indianapolis, IN