Andrew Burnham Clark, DPM in Maumee, OH - Medicare Podiatry Provider

Andrew Burnham Clark, DPM is a medicare enrolled "Podiatrist" provider in Maumee, Ohio. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Podiatric Associates Of Northwest Ohio, Inc. and his current practice location is 609 Ford St, Maumee, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 893-5539.

Andrew Burnham Clark is licensed to practice in Ohio (license number 36.002902) 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 1679572796.

Contact Information

	Andrew Burnham Clark, DPM
	609 Ford St, Maumee, OH 43537-1947
	(419) 893-5539
	(419) 893-6853

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew Burnham Clark
Gender	Male
Speciality	Podiatry
Experience	30 Years
Location	609 Ford St, Maumee, Ohio
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:

Andrew Burnham Clark graduated from medical school in 1994

NPI Data:

NPI Number: 1679572796
Provider Enumeration Date: 07/20/2005
Last Update Date: 02/12/2010

Medicare PECOS Information:

PECOS PAC ID: 2062488448
Enrollment ID: I20100730000020

Medical Identifiers

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

Identifier	Type	State	Issuer
1679572796	NPI	-	NPPES
0321182	Medicaid	OH
000000135414	Other		ANTHEM
02222	Other	OH	PARAMOUNT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	36.002902 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Podiatric Associates Of Northwest Ohio, Inc.	5496720906	7

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. Andrew Burnham Clark allows following entities to bill medicare on his behalf.

Provider Name	Podiatric Associates Of Northwest Ohio, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588664296 PECOS PAC ID: 5496720906 Enrollment ID: O20040828000137

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. Andrew Burnham 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
Andrew Burnham Clark, DPM 609 Ford St, Maumee, OH 43537-1947 Ph: (419) 893-5539	Andrew Burnham Clark, DPM 609 Ford St, Maumee, OH 43537-1947 Ph: (419) 893-5539

Reviews and Comments

Podiatrist in Maumee, OH

Michael David Cardinal, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 609 Ford St, Maumee, OH 43537 Phone: 419-893-5539 Fax: 419-893-6853
John William Lane, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 609 Ford St, Maumee, OH 43537 Phone: 419-893-5539 Fax: 419-893-6853
Gentle Footcare Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 609 Ford Street, Maumee, OH 43537 Phone: 419-893-5539 Fax: 614-239-1080
Matthew Miles Wilkin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 609 Ford St, Maumee, OH 43537 Phone: 419-893-5539 Fax: 419-893-6853
John Shalley Carroll, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 609 Ford St, Maumee, OH 43537 Phone: 419-893-5539 Fax: 419-893-6853
Ohio Podiatric Physicians And Surgeons Group, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5757 Monclova Rd, Suite 5, Maumee, OH 43537 Phone: 419-893-5757 Fax: 419-893-5399
Timothy David Gilbert, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3054 Pleasant Hill Rd, Maumee, OH 43537 Phone: 419-861-9595 Fax: 419-861-9696

Andrew Burnham Clark, DPM - Medicare Podiatrist in Maumee, OH