Dr Jacob David Clark, OD in Madison, AL - Medicare Optometry Provider

Dr Jacob David Clark, OD is a medicare enrolled "Optometrist" provider in Madison, Alabama. He went to Ferris State College - College Of Optometry and graduated in 2016 and has 8 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eyecare Associates, Inc. and his current practice location is 7880 Old Madison Pike, Madison, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 772-8711.

Dr Jacob David Clark is licensed to practice in Alabama (license number S-E20-TA-B53) 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 1760049068.

Contact Information

	Dr Jacob David Clark, OD
	7880 Old Madison Pike, Madison, AL 35758-1435
	(256) 772-8711
	(256) 772-8738

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacob David Clark
Gender	Male
Speciality	Optometry
Experience	8 Years
Location	7880 Old Madison Pike, Madison, Alabama
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:

Dr Jacob David Clark attended and graduated from Ferris State College - College Of Optometry in 2016

NPI Data:

NPI Number: 1760049068
Provider Enumeration Date: 05/22/2019
Last Update Date: 10/13/2023

Medicare PECOS Information:

PECOS PAC ID: 0547596462
Enrollment ID: I20190730001564

Medical Identifiers

Medical identifiers for Dr Jacob David Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760049068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	S-E20-TA-B53 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eyecare Associates, Inc.	0749254001	55

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. Dr Jacob David Clark allows following entities to bill medicare on his behalf.

Provider Name	Eyecare Associates, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710012877 PECOS PAC ID: 0749254001 Enrollment ID: O20040823000825

Provider Name	Myeyedr Optometry Of Alabama Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770093551 PECOS PAC ID: 0840559878 Enrollment ID: O20180118002553

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. Dr Jacob David 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
Dr Jacob David Clark, OD Po Box 207243, Dallas, TX 75320-7243 Ph: (636) 200-4393	Dr Jacob David Clark, OD 7880 Old Madison Pike, Madison, AL 35758-1435 Ph: (256) 772-8711

Reviews and Comments

Optometrist in Madison, AL

Dr. Ashley Wright, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8521 Highway 72 W, Madison, AL 35758 Phone: 256-461-8800
Dr. James Tion Lim, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 540 Hughes Rd, Suite 11, Madison, AL 35758 Phone: 256-772-4005 Fax: 256-772-5999
Acute Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8089 Highway 72 W, Suite A, Madison, AL 35758 Phone: 256-325-9465 Fax: 256-325-9467
Jagani Vision Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 106 Walking Trail Way, Madison, AL 35758 Phone: 205-792-6602
Ardmore Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7771 Highway 72 W, Suite D, Madison, AL 35758 Phone: 256-430-1700 Fax: 256-830-5132
Specs Of Madison Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21 Hughes Rd, Madison, AL 35758 Phone: 256-246-2969 Fax: 256-767-7374
Madison Optometry Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8094 Highway 72 West, Madison, AL 35758 Phone: 256-337-7953

Dr Jacob David Clark, OD - Medicare Optometrist in Madison, AL