Mr Mark Steven Clark, PA is a medicare enrolled "Physician Assistant - Medical" in Greenfield, New Hampshire. He graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Urgent Care Operations Pc and his current practice location is
1 Verney Drive, Greenfield, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 305-0628.
Mr Mark Steven Clark is licensed to practice in New Hampshire (license number 0362) 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 1235115213.
Provider's Profile
| Full Name | Mr Mark Steven Clark |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 30 Years |
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| Location | 1 Verney Drive, Greenfield, New Hampshire |
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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:
- Mr Mark Steven Clark graduated from nursing school in 1994
NPI Data:
- NPI Number: 1235115213
- Provider Enumeration Date: 12/21/2005
- Last Update Date: 03/18/2014
Medicare PECOS Information:
- PECOS PAC ID: 0749355055
- Enrollment ID: I20171226001103
Medical Identifiers
Medical identifiers for Mr Mark Steven Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235115213 | NPI | - | NPPES |
| 30331005 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0362 (New Hampshire) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0362 (New Hampshire) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Urgent Care Operations Pc | 6406141217 | 31 |
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 Mark Steven 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 Mark Steven Clark, PA
38 Cortland Dr,
Bedford, NH 03110-4224
Ph: () - | Mr Mark Steven Clark, PA
1 Verney Drive,
Greenfield, NH 03047
Ph: (603) 305-0628 |
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