Dr Stephen Paul Clark, OD in Athens, TN - Medicare Optometry Provider

Dr Stephen Paul Clark, OD is a medicare enrolled "Optometrist" provider in Athens, Tennessee. He went to Southern College Of Optometry and graduated in 1995 and has 29 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Keylon Eyecare, Pc and his current practice location is 902 W Madison Ave, Athens, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 745-8882.

Dr Stephen Paul Clark is licensed to practice in Tennessee (license number 1668) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1720004591.

Contact Information

	Dr Stephen Paul Clark, OD
	902 W Madison Ave, Athens, TN 37303-3432
	(423) 745-8882
	(423) 744-8428

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stephen Paul Clark
Gender	Male
Speciality	Optometry
Experience	29 Years
Location	902 W Madison Ave, Athens, Tennessee
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Stephen Paul Clark attended and graduated from Southern College Of Optometry in 1995

NPI Data:

NPI Number: 1720004591
Provider Enumeration Date: 07/14/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8123010162
Enrollment ID: I20040331001050

Medical Identifiers

Medical identifiers for Dr Stephen Paul Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720004591	NPI	-	NPPES
14981	Other	TN	SPECTERA
0350810001	Other	TN	DMERC
2240022	Other	TN	UNITED HEALTHCARE
3029708	Other	TN	BLUE CROSS BLUE SHIELD TN
9812003	Other	TN	CIGNA
3940201	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1668 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Keylon Eyecare, Pc	3678565603	2

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 Stephen Paul Clark allows following entities to bill medicare on his behalf.

Provider Name	Keylon Eyecare, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457478158 PECOS PAC ID: 3678565603 Enrollment ID: O20040331000876

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 Stephen Paul 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 Stephen Paul Clark, OD Po Box 826, Athens, TN 37371-0826 Ph: (423) 745-8882	Dr Stephen Paul Clark, OD 902 W Madison Ave, Athens, TN 37303-3432 Ph: (423) 745-8882

Reviews and Comments

Optometrist in Athens, TN

Mr. Paul Alan Warner, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1304 Decatur Pike, Athens, TN 37303 Phone: 423-745-1702 Fax: 423-745-1702
Dr. Jean Ann Toomey, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 406 W Madison Ave, Athens, TN 37303 Phone: 423-746-9988 Fax: 423-746-9984
Dr. Sherrie Elizabeth Holman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1450 Decatur Pike, Athens, TN 37303 Phone: 423-744-3938 Fax: 423-745-6565
Dr. William David Sullins Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 517 N Jackson St, Athens, TN 37303 Phone: 423-745-4910 Fax: 423-745-2230
Dr. Charles David Keylon, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 902 W Madison Ave, Athens, TN 37303 Phone: 423-745-8882 Fax: 423-744-8428
Tennessee Eye Care Specialists, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 902 W Madison Ave, Athens, TN 37303 Phone: 800-500-4667 Fax: 865-295-0167
Stuart Sullins, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 517 N Jackson St, Athens, TN 37303 Phone: 423-745-4910 Fax: 423-742-2230

Dr Stephen Paul Clark, OD - Medicare Optometrist in Athens, TN