Joseph C Clark, DC is a medicare enrolled "Chiropractor" provider in Vinita, Oklahoma. He went to Cleveland Chiropractic College - Kansas City and graduated in 2004 and has 22 years of diverse experience with area of expertise as Chiropractic. His current practice location is
803 N Foreman St, Vinita, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 256-5111.
Joseph C Clark is licensed to practice in Oklahoma (license number 4016) 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 1750304481.
Healthcare Provider's Profile
| Full Name | Joseph C Clark |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 22 Years |
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| Location | 803 N Foreman St, Vinita, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Joseph C Clark attended and graduated from Cleveland Chiropractic College - Kansas City in 2004
NPI Data:
- NPI Number: 1750304481
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 08/27/2013
Medicare PECOS Information:
- PECOS PAC ID: 7315979945
- Enrollment ID: I20111205000083
Medical Identifiers
Medical identifiers for Joseph C Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750304481 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CHIR007743 (Georgia) | Secondary |
| 111N00000X | Chiropractor | 4016 (Oklahoma) | 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. Joseph C Clark allows following entities to bill medicare on his behalf.
| Provider Name | Green Country Spine & Sport, PLLC |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1942586706
PECOS PAC ID: 9638344518
Enrollment ID: O20111205000070 |
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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. Joseph C 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 |
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Joseph C Clark, DC
Po Box 248,
Vinita, OK 74301-0248
Ph: (918) 256-5111 | Joseph C Clark, DC
803 N Foreman St,
Vinita, OK 74301-1435
Ph: (918) 256-5111 |
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