Douglas A Clark, MD - Medicare Orthopedic Surgery in Tempe, AZ

Douglas A Clark, MD is a medicare enrolled "Orthopaedic Surgery" physician in Tempe, Arizona. He went to Loma Linda University School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Orthopedic Surgery. His current practice location is 2055 E Southern Ave, Suite G, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 839-0008.

Douglas A Clark is licensed to practice in Arizona (license number 14762) 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 1396892907.

Contact Information

Douglas A Clark, MD
2055 E Southern Ave, Suite G,
Tempe, AZ 85282-7507
(480) 839-0008
(480) 838-3333

Map and Direction




Physician's Profile

Full NameDouglas A Clark
GenderMale
SpecialityOrthopedic Surgery
Experience47 Years
Location2055 E Southern Ave, Tempe, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas A Clark attended and graduated from Loma Linda University School Of Medicine in 1977
  NPI Data:
  • NPI Number: 1396892907
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8426211616
  • Enrollment ID: I20120526000025

Medical Identifiers

Medical identifiers for Douglas A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396892907NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 14762 (Arizona)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. Douglas A Clark allows following entities to bill medicare on his behalf.
Entity NameDouglas A Clark Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780952259
PECOS PAC ID: 7517120702
Enrollment ID: O20120526000024

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. Douglas A 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
Douglas A Clark, MD
2055 E Southern Ave, Suite G,
Tempe, AZ 85282-7507

Ph: (480) 839-0008
Douglas A Clark, MD
2055 E Southern Ave, Suite G,
Tempe, AZ 85282-7507

Ph: (480) 839-0008

Reviews and Comments


Orthopaedic Surgery Doctors in Tempe, AZ

Dr. Gary Louis Busenkell, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2088 E Ranch Rd, Tempe, AZ 85284
Phone: 480-839-1662    
Dr. Lyle Young, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281
Phone: 480-962-0071    Fax: 480-962-0590
Mauricio Valdes, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1492 S Mill Ave Ste 113, Tempe, AZ 85281
Phone: 602-553-3113    Fax: 602-667-7991
Dr. Adam Jason Farber, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1215 W Rio Salado Pkwy, Suite 105, Tempe, AZ 85281
Phone: 480-219-3342    Fax: 480-219-3271
Venkatanarayanan Ganapathy, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1255 W Rio Salado Pkwy, Tempe, AZ 85281
Phone: 480-962-0071    
Dr. Jason C Datta, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281
Phone: 480-962-0071    Fax: 480-962-0590

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.