Clark Richard Bingham, PA-C is a medicare enrolled "Dermatology" in Mesa, Arizona. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Bingham Dermatology Group Llc and his current practice location is
2855 E Brown Rd Ste 28, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 625-4538.
Clark Richard Bingham is licensed to practice in Arizona (license number 8309) 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 1730775396.
Provider's Profile
| Full Name | Clark Richard Bingham |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 2855 E Brown Rd Ste 28, Mesa, Arizona |
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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. |
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Medical Education and Training:
- Clark Richard Bingham graduated from nursing school in 2020
NPI Data:
- NPI Number: 1730775396
- Provider Enumeration Date: 12/17/2020
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840604575
- Enrollment ID: I20210120002674
Medical Identifiers
Medical identifiers for Clark Richard Bingham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730775396 | NPI | - | NPPES |
| 8309 | Other | AZ | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | 8309 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bingham Dermatology Group Llc | 7416199286 | 3 |
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. Clark Richard Bingham 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 |
|---|
Clark Richard Bingham, PA-C
2855 E Brown Rd Ste 28,
Mesa, AZ 85213-4217
Ph: (480) 625-4538 | Clark Richard Bingham, PA-C
2855 E Brown Rd Ste 28,
Mesa, AZ 85213-4217
Ph: (480) 625-4538 |
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