Dr Juliette Clark, DMD in Cleveland, OH - Medicare Dentist Provider

Dr Juliette Clark, DMD is a medicare enrolled "Dentist - General Practice" provider in Cleveland, Ohio. Her current practice location is 9500 Euclid Ave # A-70, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 444-2200.

Dr Juliette Clark is licensed to practice in Connecticut (license number 10456) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699903351.

Contact Information

	Dr Juliette Clark, DMD
	9500 Euclid Ave # A-70, Cleveland, OH 44195-3019
	(216) 444-2200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Juliette Clark
Gender	Female
Speciality	Dentist - General Practice
Location	9500 Euclid Ave # A-70, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699903351
Provider Enumeration Date: 07/01/2009
Last Update Date: 01/18/2023

Medicare PECOS Information:

PECOS PAC ID: 6800192931
Enrollment ID: I20221229001536

Medical Identifiers

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

Identifier	Type	State	Issuer
1699903351	NPI	-	NPPES
004011136	Medicaid	CT
004236354	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	30.026991 (Ohio)	Secondary
122300000X	Dentist	055358 (New York)	Secondary
1223G0001X	Dentist - General Practice	10456 (Connecticut)	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. Dr Juliette Clark allows following entities to bill medicare on her behalf.

Entity Name	The Cleveland Clinic Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049

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 Juliette 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 Juliette Clark, DMD 9500 Euclid Ave # A-70, Cleveland, OH 44195-0001 Ph: (216) 444-2200	Dr Juliette Clark, DMD 9500 Euclid Ave # A-70, Cleveland, OH 44195-3019 Ph: (216) 444-2200

Reviews and Comments

Dentist in Cleveland, OH

William Stephen Barnes Ii, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800
Dr. Joi S. Copeland, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-4725 Fax: 216-778-1787
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Dr. Ariel Delgado, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4071 Lee Rd Ste 260, Cleveland, OH 44128 Phone: 216-368-7238
Ahmed Alwali, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4071 Lee Rd Ste 260, Cleveland, OH 44128 Phone: 216-727-0124
Shelly K Haas, DMD Dentist Medicare: Medicare Enrolled Practice Location: 14601 Puritas Avenue, Cleveland, OH 44135 Phone: 216-671-5452 Fax: 216-671-5455
Dr. Craig Francis Mangie, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # Deska71, Cleveland, OH 44195 Phone: 216-444-4802 Fax: 216-445-8570

Dr Juliette Clark, DMD - Medicare Dentist in Cleveland, OH