Stephen Brent Clark, OD is a medicare enrolled "Optometrist" provider in Rock Spring, Georgia. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Optometry. His current practice location is
8390 North Hwy 27, Rock Spring, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 375-1720.
Stephen Brent Clark is licensed to practice in Georgia (license number OPT002352) 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 1952300832.
Healthcare Provider's Profile
| Full Name | Stephen Brent Clark |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 21 Years |
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| Location | 8390 North Hwy 27, Rock Spring, Georgia |
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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:
- Stephen Brent Clark graduated from medical school in 2003
NPI Data:
- NPI Number: 1952300832
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 07/22/2010
Medicare PECOS Information:
- PECOS PAC ID: 5496742959
- Enrollment ID: I20070222000212
Medical Identifiers
Medical identifiers for Stephen Brent Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952300832 | NPI | - | NPPES |
| 194699738A | Medicaid | GA | |
| 1952569279 | Other | GA | GROUP NPI |
| 1952300832 | Other | GA | BCBS |
| 511G700557 | Other | GA | MEDICARE |
| 26-2355581 | Other | GA | UHC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OD002478 (Tennessee) | Secondary |
| 152W00000X | Optometrist | OPT002352 (Georgia) | 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. Stephen Brent Clark allows following entities to bill medicare on his behalf.
| Provider Name | North Georgia Vision Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1952569279
PECOS PAC ID: 8628148327
Enrollment ID: O20080607000042 |
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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. Stephen Brent 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 |
|---|
Stephen Brent Clark, OD
8390 North Hwy 27,
Rock Spring, GA 30739-2103
Ph: (706) 375-1720 | Stephen Brent Clark, OD
8390 North Hwy 27,
Rock Spring, GA 30739-2103
Ph: (706) 375-1720 |
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