| Michael G Clark, PA | |
|
1305 Airport Fwy Ste 305, Bedford, TX 76021-6604 | |
| (817) 545-1355 | |
| (817) 545-1574 |
| Full Name | Michael G Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 39 Years |
| Location | 1305 Airport Fwy Ste 305, Bedford, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326006834 | NPI | - | NPPES |
| 196349801 | Medicaid | TX | |
| 196349804 | Medicaid | TX | |
| 8N2840 | Other | TX | BCBS |
| 196349803 | Medicaid | TX | |
| P00297373 | Other | TX | RAILROAD MEDICARE |
| 196349802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00339 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heart Center Of North Texas Pa | 5092798694 | 18 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael G Clark, PA 1305 Airport Fwy Ste 305, Bedford, TX 76021-6604 Ph: (817) 545-1355 | Michael G Clark, PA 1305 Airport Fwy Ste 305, Bedford, TX 76021-6604 Ph: (817) 545-1355 |
Mrs. Gina G Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2425 Hwy 121, Bedford, TX 76021 Phone: 817-540-4477 Fax: 817-510-0188 | |
Cameryn Elizabeth-anne Grassanovits, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1305 Airport Fwy Ste 320, Bedford, TX 76021 Phone: 817-684-3500 Fax: 817-684-3510 | |
Ms. Celia Marisela Garza, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Hospital Pkwy, Bedford, TX 76022 Phone: 817-848-2708 | |
Cory Alan Logan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1615 Hospital Pkwy Ste 103, Bedford, TX 76022 Phone: 817-354-2680 Fax: 817-510-5927 | |
Lindsay Portz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Hospital Pkwy Ste 100, Bedford, TX 76022 Phone: 817-952-5245 | |
Ms. Carinthia Jaree Guidry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1305 Airport Fwy Ste 103, Bedford, TX 76021 Phone: 682-647-6500 Fax: 469-320-1268 | |
Jerry Kulangara John, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1615 Hospital Pkwy Ste 306, Bedford, TX 76022 Phone: 512-628-0465 |