Douglas Paul Clark, MD - Medicare Pathology in Albuquerque, NM

Douglas Paul Clark, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Albuquerque, New Mexico. His current practice location is 2211 Lomas Blvd Ne, Depatment Of Pathology, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 272-4814.

Douglas Paul Clark is licensed to practice in New Mexico (license number MD2013-0937) 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 1235181132.

Contact Information

Douglas Paul Clark, MD
2211 Lomas Blvd Ne, Depatment Of Pathology,
Albuquerque, NM 87106-2719
(505) 272-4814
(505) 272-8084

Map and Direction




Physician's Profile

Full NameDouglas Paul Clark
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location2211 Lomas Blvd Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235181132
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 12/16/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1951433440
  • Enrollment ID: I20140311001495

Medical Identifiers

Medical identifiers for Douglas Paul Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235181132NPI-NPPES
231351100MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology MD2013-0937 (New Mexico)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 Paul Clark allows following entities to bill medicare on his behalf.
Entity NamePresbyterian Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104802354
PECOS PAC ID: 9234041708
Enrollment ID: O20031103000603
Entity NameUnm Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831218627
PECOS PAC ID: 4981795267
Enrollment ID: O20070801000589

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 Paul 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 Paul Clark, MD
1 University Of New Mexico Pathology Msc08,
Albuquerque, NM 87131-0001

Ph: (505) 272-4814
Douglas Paul Clark, MD
2211 Lomas Blvd Ne, Depatment Of Pathology,
Albuquerque, NM 87106-2719

Ph: (505) 272-4814

Reviews and Comments


Pathology Doctors in Albuquerque, NM

Glynnis Ingall,
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106
Phone: 505-272-2445    
Dr. Larry Wayne Massie, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108
Phone: 505-256-5770    Fax: 505-256-5439
Jennifer L Wheeler Buenger, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: Msc 10 5590, 1 University Of New Mexico, Albuquerque, NM 87131
Phone: 505-272-3053    Fax: 505-925-0546
Dr. Joseph Ross Griggs, D.O.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: Msc 08 4640, 1 University Of New Mexico, Albuquerque, NM 87131
Phone: 505-272-4814    Fax: 505-272-8084
Zoe Sarah Sundell, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 1 University Of New Mexico, Albuquerque, NM 87131
Phone: 505-272-4814    
Anne Bracey, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: Unm Hospital Pathology, 2211 Lomas Blvd Ne, Albuquerque, NM 87131
Phone: 505-272-6225    
Dr. James Anthony Halfacre Jr., M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106
Phone: 505-841-1234    

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.