Demetrice Clark, OD in Durham, NC - Medicare Optometrist Provider

Demetrice Clark, OD is a medicare enrolled "Optometrist" provider in Durham, North Carolina. Her current practice location is 2216 E Nc Highway 54, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 544-2020.

Demetrice Clark is licensed to practice in North Carolina (license number 1385) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992750616.

Contact Information

	Demetrice Clark, OD
	2216 E Nc Highway 54, Durham, NC 27713-2208
	(919) 544-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Demetrice Clark
Gender	Female
Speciality	Optometrist
Location	2216 E Nc Highway 54, Durham, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992750616
Provider Enumeration Date: 05/23/2006
Last Update Date: 05/07/2015

Medicare PECOS Information:

PECOS PAC ID: 7517001910
Enrollment ID: I20100223000857

Medical Identifiers

Medical identifiers for Demetrice Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992750616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1385 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Demetrice Clark allows following entities to bill medicare on her behalf.

Provider Name	Clark Optometric Center Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588619217 PECOS PAC ID: 6709911092 Enrollment ID: O20100311000546

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. Demetrice 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
Demetrice Clark, OD 100 Glade Park Rd, Cary, NC 27518-8683 Ph: (919) 363-2146	Demetrice Clark, OD 2216 E Nc Highway 54, Durham, NC 27713-2208 Ph: (919) 544-2020

Reviews and Comments

Optometrist in Durham, NC

Dr. Kyle Kiyoshi Harada, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1010 Stillwell Dr Unit 2422, Durham, NC 27707 Phone: 408-438-3658
Dr. Bruce Alan Pate, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2900 Croasdaile Dr, Ste. 6, Durham, NC 27705 Phone: 919-683-2020
Anthony Ronald Clark, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2216 E Nc Highway 54, Durham, NC 27713 Phone: 919-544-2020 Fax: 919-433-0298
Optix Eyecare Center Od Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2812 Erwin Rd, Ste 201, Durham, NC 27705 Phone: 919-384-0784 Fax: 919-321-6249
Amorette L. Hanna, O.d., Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4005 Durham Chapel Hill Blvd, Durham, NC 27707 Phone: 919-905-2020
Roshani Patel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14 Consultant Pl, Durham, NC 27707 Phone: 919-493-3668
Dr. Nikki Lynn Robertson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3101 Shannon Rd, Durham, NC 27707 Phone: 919-493-8508 Fax: 919-676-2231

Demetrice Clark, OD - Medicare Optometrist in Durham, NC