Dr James Warner Clark, MD is a
Family Medicine physician based in Limestone, Tennessee. Dr James Warner Clark is licensed to practice in Tennessee (license number 15468) and his current practice location is 105 Limestone Ruritan Rd, Limestone, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 257-8089.
NPI number for Dr James Warner Clark is 1982608428 and his current mailing address is Po Box 850, Rogersville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982608428.
Physician's Profile
| Full Name | Dr James Warner Clark |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
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| Location | 105 Limestone Ruritan Rd, Limestone, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982608428
- Provider Enumeration Date: 06/13/2005
- Last Update Date: 01/26/2010
Medical Identifiers
Medical identifiers for Dr James Warner Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982608428 | NPI | - | NPPES |
| 3010178 | Medicaid | TN | |
| 61386 | Other | TN | BCBST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 15468 (Tennessee) | Primary |
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. Dr James Warner Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr James Warner Clark, MD
Po Box 850,
Rogersville, TN 37857-0850
Ph: (423) 257-8089 | Dr James Warner Clark, MD
105 Limestone Ruritan Rd,
Limestone, TN 37681-2515
Ph: (423) 257-8089 |
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