Alysse Clark, MD in Fresno, CA - Medicare Radiology

Alysse Clark, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fresno, California. Her current practice location is 155 N Fresno St, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 499-6500.

Alysse Clark is licensed to practice in California (license number A165227) 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 1619472941.

Contact Information

	Alysse Clark, MD
	155 N Fresno St, Fresno, CA 93701-2302
	(559) 499-6500
	Not Available

Map and Direction

Physician's Profile

Full Name	Alysse Clark
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	155 N Fresno St, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619472941
Provider Enumeration Date: 03/28/2018
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 8426594516
Enrollment ID: I20240725000916

Medical Identifiers

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

Identifier	Type	State	Issuer
1619472941	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085N0700X	Radiology - Neuroradiology	A165227 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2085R0202X	Radiology - Diagnostic Radiology	A165227 (California)	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. Alysse Clark allows following entities to bill medicare on her behalf.

Entity Name	Central Valley Community Medical Imaging
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376637264 PECOS PAC ID: 5799679874 Enrollment ID: O20040210000681

Entity Name	California Imaging Institute Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497764468 PECOS PAC ID: 1951325299 Enrollment ID: O20060125000531

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. Alysse 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
Alysse Clark, MD 155 N Fresno St, Fresno, CA 93701-2302 Ph: (559) 499-6500	Alysse Clark, MD 155 N Fresno St, Fresno, CA 93701-2302 Ph: (559) 499-6500

Reviews and Comments

Radiology Doctors in Fresno, CA

David Toshio Nakamura, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6107 N Fresno St, Fresno, CA 93710 Phone: 858-703-7272
Dr. William J Vlymen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1243 E Spruce, Ste 101, Fresno, CA 93720 Phone: 559-439-7226
Dr. Judy L. Champaign, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6297 N Fresno St, Fresno, CA 93710 Phone: 559-325-5876
Dr. Ivan Ramirez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1867 E Fir Ave, Suite 104, Fresno, CA 93720 Phone: 559-325-5800 Fax: 559-325-5838
Dr. Puneet Rana, MD, MS Radiology Medicare: Medicare Enrolled Practice Location: 1827 E Fir Ave Ste 101, Fresno, CA 93720 Phone: 559-400-7629
Dr. Ashkan Heshmatzadeh Behzadi, MD Radiology Medicare: Medicare Enrolled Practice Location: 1510 E Herndon Ave Ste 110, Fresno, CA 93720 Phone: 559-450-6742 Fax: 559-450-6743
Siva Prasad Jasti, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7300 N Fresno St, Fresno, CA 93720 Phone: 559-448-5000

Alysse Clark, MD - Medicare Radiology in Fresno, CA