Nathan A Clark, DPM | |
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
(740) 446-5412 | |
(740) 446-5956 |
Full Name | Nathan A Clark |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 16 Years |
Location | 100 Jackson Pike, Gallipolis, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588898373 | NPI | - | NPPES |
0050020 | Medicaid | OH | |
3810020699 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 36.003584 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holzer Medical Center | Gallipolis, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holzer Clinic Llc | 5890606008 | 264 |
Provider Name | Holzer Clinic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
Mailing Address | Practice Location Address |
---|---|
Nathan A Clark, DPM 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5412 | Nathan A Clark, DPM 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5412 |
Dr. David Jeffrey Faro, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 161 3rd Ave, Gallipolis, OH 45631 Phone: 740-446-1860 Fax: 740-446-2994 | |
Adriane Breshea Eastman-esmaeili, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 | |
French City Foot Clinic Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 161 3rd Ave, Gallipolis, OH 45631 Phone: 740-446-1860 Fax: 740-446-2994 |