J.douglas Clark, Md Pc in Spartanburg, SC - Medicare Internal Medicine

J.douglas Clark, Md Pc is a medicare enrolled primary clinic (Internal Medicine - Critical Care Medicine) in Spartanburg, South Carolina. The current practice location for J.douglas Clark, Md Pc is 2030 North Church Place, Spartanburg, South Carolina. For appointments, you can reach them via phone at (864) 582-6858. The mailing address for J.douglas Clark, Md Pc is Po Box 4276, Spartanburg, South Carolina and phone number is (864) 582-6858.

J.douglas Clark, Md Pc is licensed to practice in South Carolina (license number 19596). The clinic also participates in the medicare program and its NPI number is 1730229808. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (864) 582-6858.

Contact Information

	J.douglas Clark, Md Pc
	2030 North Church Place Spartanburg SC 29303-2796
	(864) 582-6858
	(864) 585-0999

Map and Direction

Primary Care Clinic Profile

Full Name	J.douglas Clark, Md Pc
Speciality	Internal Medicine
Location	2030 North Church Place, Spartanburg, South Carolina
Authorized Official Name and Position	Darla M Brown (OFFICE MANAGER)
Authorized Official Contact	8645826858
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
J.douglas Clark, Md Pc Po Box 4276 Spartanburg SC 29305-4276 Ph: (864) 582-6858	J.douglas Clark, Md Pc 2030 North Church Place Spartanburg SC 29303-2796 Ph: (864) 582-6858

NPI Details:

NPI Number	1730229808
Provider Enumeration Date	02/07/2007
Last Update Date	06/11/2012

Medicare PECOS Information:

Medicare PECOS PAC ID	7315195609
Medicare Enrollment ID	O20120911000534

Medical Identifiers

Medical identifiers for J.douglas Clark, Md Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730229808	NPI	-	NPPES
290009501	Other	SC	RAILROAD
8688	Other	SC	MBPG'S
T3660	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	19596 (South Carolina)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	19596 (South Carolina)	Primary
207RP1001X	Internal Medicine - Pulmonary Disease	19596 (South Carolina)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	19596 (South Carolina)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. J.douglas Clark, Md Pc acts as a billing entity for following providers:

Provider Name	John Douglas Clark
Provider Type	Practitioner - Pulmonary Disease
Provider Identifiers	NPI Number: 1194798595 PECOS PAC ID: 8426074238 Enrollment ID: I20051020000955

Reviews and Comments

Internal Medicine in Spartanburg, SC

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J.douglas Clark, Md Pc - Medicare Primary Care in Spartanburg, SC