Dr Matthew Clark, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in W Harrison, New York. His current practice location is
55 W Red Oak Ln, W Harrison, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 500-8985.
Dr Matthew Clark is licensed to practice in New York (license number 057328) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396905188.
Healthcare Provider's Profile
Full Name | Dr Matthew Clark |
---|
Gender | Male |
---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
---|
Location | 55 W Red Oak Ln, W Harrison, New York |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396905188
- Provider Enumeration Date: 06/15/2008
- Last Update Date: 03/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820316904
- Enrollment ID: I20150422000430
Medical Identifiers
Medical identifiers for Dr Matthew Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396905188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 057328 (New York) | Primary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 11099 (Connecticut) | Secondary |
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 Matthew 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 Matthew Clark, DDS, MD 55 W Red Oak Ln, W Harrison, NY 10604-3608 Ph: (914) 500-8985 | Dr Matthew Clark, DDS, MD 55 W Red Oak Ln, W Harrison, NY 10604-3608 Ph: (914) 500-8985 |
Reviews and Comments