Mr Hollis Johnson Clark Jr, PA-C in Herrin, IL

Mr Hollis Johnson Clark Jr, PA-C is a medicare enrolled "Physician Assistant" in Herrin, Illinois. His current practice location is 510 Lincoln Dr, Herrin, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 997-6800.

Mr Hollis Johnson Clark Jr is licensed to practice in Kentucky (license number TC051) 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 1154659894.

Contact Information

	Mr Hollis Johnson Clark Jr, PA-C
	510 Lincoln Dr, Herrin, IL 62948-6334
	(618) 997-6800
	(618) 997-1187

Map and Direction

Provider's Profile

Full Name	Mr Hollis Johnson Clark Jr
Gender	Male
Speciality
Experience	Years
Location	510 Lincoln Dr, Herrin, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Hollis Johnson Clark Jr attended and graduated from in

NPI Data:

NPI Number: 1154659894
Provider Enumeration Date: 11/18/2009
Last Update Date: 02/23/2017

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Hollis Johnson Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154659894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	TC051 (Kentucky)	Primary

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. Mr Hollis Johnson Clark Jr 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
Mr Hollis Johnson Clark Jr, PA-C 4787 Alben Barkley Dr, Suite 103, Paducah, KY 42001-6789 Ph: (270) 442-9461	Mr Hollis Johnson Clark Jr, PA-C 510 Lincoln Dr, Herrin, IL 62948-6334 Ph: (618) 997-6800

Reviews and Comments

Physician Assistant Nurses in Herrin, IL

Mr. Leon Gauthier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 N Park Ave, Suite 2, Herrin, IL 62948 Phone: 618-942-3344 Fax: 618-942-5045
Mr. John W Nugent, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124
Mr. Kevin L Rainey, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124
Mrs. Dena L Mccormick, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6186
Mrs. Kelly Jackson Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-997-1187
Gretchen B Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124

Mr Hollis Johnson Clark Jr, PA-C - Medicare in Herrin, IL