Dr Julie D Clark, MD in Petaluma, CA - Medicare Obstetrics/gynecology

Dr Julie D Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Petaluma, California. She went to New York Medical College and graduated in 2001 and has 23 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Providence Medical Foundation, Petaluma Health Center Inc and her current practice location is 1550 Professional Dr Ste A, Suite 100, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 763-2900.

Dr Julie D Clark is licensed to practice in California (license number A98041) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346216389.

Contact Information

	Dr Julie D Clark, MD
	1550 Professional Dr Ste A, Suite 100, Petaluma, CA 94954-6655
	(707) 763-2900
	(707) 763-2990

Map and Direction

Physician's Profile

Full Name	Dr Julie D Clark
Gender	Female
Speciality	Obstetrics/gynecology
Experience	23 Years
Location	1550 Professional Dr Ste A, Petaluma, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Julie D Clark attended and graduated from New York Medical College in 2001

NPI Data:

NPI Number: 1346216389
Provider Enumeration Date: 02/28/2006
Last Update Date: 10/20/2021

Medicare PECOS Information:

PECOS PAC ID: 0345330494
Enrollment ID: I20071213000430

Medical Identifiers

Medical identifiers for Dr Julie D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346216389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	231988 (New York)	Secondary
207V00000X	Obstetrics & Gynecology	A98041 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital
Petaluma Valley Hospital	Petaluma, CA	Hospital
Sonoma Valley Hospital	Sonoma, CA	Hospital
Novato Community Hospital	Novato, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1293
Petaluma Health Center Inc	9133180375	59

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 Julie D Clark allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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 Julie D 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 Julie D Clark, MD 1550 Professional Dr Ste A, Suite 100, Petaluma, CA 94954-6655 Ph: (707) 763-2900	Dr Julie D Clark, MD 1550 Professional Dr Ste A, Suite 100, Petaluma, CA 94954-6655 Ph: (707) 763-2900

Reviews and Comments

Obstetrics & Gynecology Doctors in Petaluma, CA

Fiona Redwood, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7570
Laurie A. Dibble, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900
Dr. Anthony P. Kosinski, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1550a Professional Drive, Suite 100, Petaluma, CA 94954 Phone: 707-763-2900 Fax: 707-763-2990
Gamin Mary Thomason, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900
Kellie Corcoran, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900
Judith Mccarthy, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900

Dr Julie D Clark, MD - Medicare Obstetrics/gynecology in Petaluma, CA