Dr Jeffrey M Clark, DDS in Bowling Green, KY - Medicare Maxillofacial Surgery Provider

Dr Jeffrey M Clark, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Bowling Green, Kentucky. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Southern Kentucky Oral Surgery Associates, Pllc and his current practice location is 1802 Rockingham Ave, Bowling Green, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 783-0064.

Dr Jeffrey M Clark is licensed to practice in Kentucky (license number 8960) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1649261850.

Contact Information

	Dr Jeffrey M Clark, DDS
	1802 Rockingham Ave, Bowling Green, KY 42104-3348
	(270) 783-0064
	(270) 901-1997

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeffrey M Clark
Gender	Male
Speciality	Maxillofacial Surgery
Experience	39 Years
Location	1802 Rockingham Ave, Bowling Green, Kentucky
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jeffrey M Clark graduated from medical school in 1985

NPI Data:

NPI Number: 1649261850
Provider Enumeration Date: 11/04/2005
Last Update Date: 09/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0446449862
Enrollment ID: I20110114000721

Medical Identifiers

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

Identifier	Type	State	Issuer
1649261850	NPI	-	NPPES
3146210	Other	TN	BCBS TN
132568	Other		TRICARE
702005606	Other	TN	CARITEN COMMERICAL INSURA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0106X	Dentist - Oral And Maxillofacial Pathology	8960 (Kentucky)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	8960 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Kentucky Oral Surgery Associates, Pllc	5193776425	3

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 M Clark allows following entities to bill medicare on his behalf.

Entity Name	Southern Kentucky Oral Surgery Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013104892 PECOS PAC ID: 5193776425 Enrollment ID: O20050203000829

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 M 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 M Clark, DDS 1802 Rockingham Ave, Bowling Green, KY 42104-3348 Ph: (270) 783-0064	Dr Jeffrey M Clark, DDS 1802 Rockingham Ave, Bowling Green, KY 42104-3348 Ph: (270) 783-0064

Reviews and Comments

Dentist in Bowling Green, KY

Dr. Michael Wayne Hubbard, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1109 State St, Bowling Green, KY 42101 Phone: 270-783-3573 Fax: 270-783-4081
Dr. Kelli Alexander Barbee, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Suite 119, Bowling Green, KY 42104 Phone: 270-393-9925 Fax: 270-393-9928
Kenneth Grant Bale, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 155 Olde Towne Blvd, Bowling Green, KY 42103 Phone: 270-715-2978 Fax: 270-715-2985
Leslie Ann Hazel, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1711 Destiny Ln, Ste 120, Bowling Green, KY 42104 Phone: 270-843-8738 Fax: 270-843-8738
Dr. Ronald L Yaeger, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1064 U S 31 West By Pass, Bowling Green, KY 42101 Phone: 270-781-3610 Fax: 270-796-2932
Dr. Laura Nell Lawless, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Westen St, Bowling Green, KY 42104 Phone: 270-781-1706 Fax: 270-781-2338
Samantha Jo Johnson, Dentist Medicare: Medicare Enrolled Practice Location: 1938 Lyda Ave, Bowling Green, KY 42104 Phone: 270-843-5600

Dr Jeffrey M Clark, DDS - Medicare Dentist in Bowling Green, KY