Dr Patrick James Clark Jr, OD - Medicare Optometrist in Travis Afb, CA

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Dr Patrick James Clark Jr, OD is a medicare enrolled "Optometrist" provider in Travis Afb, California. His current practice location is 101 Bodin Cir, 60 Mdg/amds Optometry Clinic, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-7171.

Dr Patrick James Clark Jr is licensed to practice in California (license number 10580T) 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 1285699553.

Contact Information

Dr Patrick James Clark Jr, OD
101 Bodin Cir, 60 Mdg/amds Optometry Clinic,
Travis Afb, CA 94535-1809
(707) 423-7171
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Patrick James Clark Jr
GenderMale
SpecialityOptometrist
Location101 Bodin Cir, Travis Afb, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285699553
  • Provider Enumeration Date: 04/19/2006
  • Last Update Date: 02/13/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8527360460
  • Enrollment ID: I20160525001648

Medical Identifiers

Medical identifiers for Dr Patrick James Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285699553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 10580T (California)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. Dr Patrick James Clark Jr allows following entities to bill medicare on his behalf.
Provider NamePetaluma Health Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588656268
PECOS PAC ID: 9133180375
Enrollment ID: O20050315000415
Provider NameThe West Oakland Health Council
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1285754234
PECOS PAC ID: 9537062302
Enrollment ID: O20120420000113

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 Patrick James 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 AddressPractice Location Address
Dr Patrick James Clark Jr, OD
101 Bodin Cir, 60 Mdg/amds Optometry Clinic,
Travis Afb, CA 94535-1809

Ph: (707) 423-7171		Dr Patrick James Clark Jr, OD
101 Bodin Cir, 60 Mdg/amds Optometry Clinic,
Travis Afb, CA 94535-1809

Ph: (707) 423-7171

Reviews and Comments


Optometrist in Travis Afb, CA

Dr. Gary L Martinsen, OD, PHD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 101 Bodin Cir, 60 Mdg/sgpe, Travis Afb, CA 94535
Phone: 707-423-7141    
Casey Rae Shoop, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7171    
Dr. Maria Guadalupe Tarin-lopez, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 461 Skymaster Cir, Travis Afb, CA 94535
Phone: 707-437-4095    Fax: 707-437-4095
Dr. Cang Q. Bui, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7171    
Mrs. Adrian N Hulbert, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 60 Mdg/sgpe, 101 Bodin Circle, Travis Afb, CA 94535
Phone: 707-423-7171    
Alane Denise Durand, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 101 Bodin Cir, 60amds/sgpe, Travis Afb, CA 94535
Phone: 707-423-7171    Fax: 707-423-7570

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.