Mr John Riley Clark, PA-C in Oswego, IL - Medicare Physician Assistant

Mr John Riley Clark, PA-C is a medicare enrolled "Physician Assistant - Medical" in Oswego, Illinois. His current practice location is 2700 Light Rd Apt 102, Oswego, Illinois. You can reach out to his office (for appointments etc.) via phone at (415) 516-8668.

Mr John Riley Clark is licensed to practice in Illinois (license number 085.007136) 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 1063072973.

Contact Information

	Mr John Riley Clark, PA-C
	2700 Light Rd Apt 102, Oswego, IL 60543-9231
	(415) 516-8668
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr John Riley Clark
Gender	Male
Speciality	Physician Assistant - Medical
Location	2700 Light Rd Apt 102, Oswego, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063072973
Provider Enumeration Date: 06/13/2019
Last Update Date: 08/02/2019

Medicare PECOS Information:

PECOS PAC ID: 6901230911
Enrollment ID: I20191230000554

Medical Identifiers

Medical identifiers for Mr John Riley Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063072973	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	085.007136 (Illinois)	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 John Riley 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
Mr John Riley Clark, PA-C 2700 Light Rd Apt 102, Oswego, IL 60543-9231 Ph: (415) 516-8668	Mr John Riley Clark, PA-C 2700 Light Rd Apt 102, Oswego, IL 60543-9231 Ph: (415) 516-8668

Reviews and Comments

Physician Assistant Nurses in Oswego, IL

Ramona K Kitching, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 80 Templeton Dr, Oswego, IL 60543 Phone: 630-554-3456
Sharon Lee Shieh, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 Templeton Dr, Oswego, IL 60543 Phone: 630-554-3456 Fax: 630-551-2933
Melissa Kay Best, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 Templeton Drive, Oswego, IL 60543 Phone: 630-554-3456

Mr John Riley Clark, PA-C - Medicare Physician Assistant in Oswego, IL