Mr Edgar Vincent Clark, CCC-S - Medicare Speech-Language Pathologist in Vidalia, GA

Mr Edgar Vincent Clark, CCC-S is a medicare enrolled "Speech-language Pathologist" provider in Vidalia, Georgia. His current practice location is 101 Harris Industrial Blvd, Vidalia, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 537-2044.

Mr Edgar Vincent Clark is licensed to practice in Georgia (license number SLP004577) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962611202.

Contact Information

Mr Edgar Vincent Clark, CCC-S
101 Harris Industrial Blvd,
Vidalia, GA 30474-8845
(912) 537-2044
(912) 277-2098

Map and Direction




Healthcare Provider's Profile

Full NameMr Edgar Vincent Clark
GenderMale
SpecialitySpeech-language Pathologist
Location101 Harris Industrial Blvd, Vidalia, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962611202
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8224358049
  • Enrollment ID: I20150519001601

Medical Identifiers

Medical identifiers for Mr Edgar Vincent Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962611202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SLP004577 (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. Mr Edgar Vincent Clark allows following entities to bill medicare on his behalf.
Provider NameCoastal Voice & Dysphagia Diagnostics, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1194358150
PECOS PAC ID: 6901235803
Enrollment ID: O20200327001710

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. Mr Edgar Vincent 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 AddressPractice Location Address
Mr Edgar Vincent Clark, CCC-S
Po Box 383,
Glenwood, GA 30428-0383

Ph: (912) 568-7687
Mr Edgar Vincent Clark, CCC-S
101 Harris Industrial Blvd,
Vidalia, GA 30474-8845

Ph: (912) 537-2044

Reviews and Comments


Speech-Language Pathologist in Vidalia, GA

Mrs. Jill Nicole Lawrence, CCC/SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474
Phone: 912-375-3797    
Mrs. Margaret Fairley Wood, CCC/SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 101 Harris Industrial Blvd, Vidalia, GA 30474
Phone: 912-277-2044    Fax: 912-277-2099
Emily Shaw,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 400 Adams St Unit B, Vidalia, GA 30474
Phone: 478-254-0636    Fax: 912-525-2847
Melissa Williamson, M.ED/CF
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 607 Jackson St, Vidalia, GA 30474
Phone: 912-331-0846    Fax: 678-792-4894
Kayla Edwards, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474
Phone: 912-331-0846    Fax: 678-792-4894
Skye Besier, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Loop Rd, Vidalia, GA 30474
Phone: 912-537-0813    
Mrs. Abby Virginia Adams, M.ED., CCC-SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 101 Harris Insustrial Blvd, Vidalia, GA 30474
Phone: 912-277-2053    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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