Dr Jeffrey G Clark, MD in Brookhaven, MS

Dr Jeffrey G Clark, MD is a medicare enrolled "Urology" physician in Brookhaven, Mississippi. He went to University Of Alabama School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Urology. He is a member of the group practice Brookhaven Urology, Pa and his current practice location is 425 Highway 51 N, Brookhaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 833-5713.

Dr Jeffrey G Clark is licensed to practice in Mississippi (license number 13241) 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 1376643247.

Contact Information

	Dr Jeffrey G Clark, MD
	425 Highway 51 N, Brookhaven, MS 39601-2350
	(601) 833-5713
	(601) 833-1616

Map and Direction

Physician's Profile

Full Name	Dr Jeffrey G Clark
Gender	Male
Speciality	Urology
Experience	33 Years
Location	425 Highway 51 N, Brookhaven, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jeffrey G Clark attended and graduated from University Of Alabama School Of Medicine in 1991

NPI Data:

NPI Number: 1376643247
Provider Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4587712724
Enrollment ID: I20101124000315

Medical Identifiers

Medical identifiers for Dr Jeffrey G Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376643247	NPI	-	NPPES
00116404	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	13241 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
King's Daughters Medical Center-brookhaven	Brookhaven, MS	Hospital
Southwest Ms Regional Medical Center	Mccomb, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brookhaven Urology, Pa	9638227804	2

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. Dr Jeffrey G Clark allows following entities to bill medicare on his behalf.

Entity Name	Brookhaven Urology, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154421006 PECOS PAC ID: 9638227804 Enrollment ID: O20090427000446

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 Jeffrey G 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 Address	Practice Location Address
Dr Jeffrey G Clark, MD 425 Highway 51 N, Brookhaven, MS 39601-2350 Ph: (601) 833-5713	Dr Jeffrey G Clark, MD 425 Highway 51 N, Brookhaven, MS 39601-2350 Ph: (601) 833-5713

Reviews and Comments

Urology Doctors in Brookhaven, MS

Joel David Duff, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 425 Highway 51 N, Brookhaven, MS 39601 Phone: 601-833-5713 Fax: 601-748-7063
Dr. James Jeffery Boyd, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 425 Highway 51 N, Brookhaven, MS 39601 Phone: 601-833-5713 Fax: 601-833-1616

Dr Jeffrey G Clark, MD - Medicare Urology in Brookhaven, MS